Investigation number
199903602
Occurrence date
Location
9 km NNE Brisbane, Aero
Report release date
Report status
Final
Investigation type
Occurrence Investigation
Investigation status
Completed
Aviation occurrence type
Loss of separation
Occurrence category
Incident
Highest injury level
None

Local safety action

The Airservices Australia investigator made the following recommendations:

"The MORETON GROUP Leader to include the application of the "Sight & Follow" procedure as a specific subject in all future Refresher Training programs with case studies for analysis. (e.g. the practicality of sighting traffic same level eleven o'clock at ten miles in a period of high cockpit workload.)

Consideration given to include in MATS 4-5-1 para 10 specific reference to "---their number in the landing sequence ----" and not limit this reference to same page, para 15, second sentence under the title of Visual Separation by Aerodrome Controllers."

Australian Transport Safety Bureau safety action

As a result of this occurrence the Australian Transport Safety Bureau (formerly BASI) is currently investigating a safety deficiency. The deficiency relates to the training provided to Airservices Australia's approach controllers, in particular human factors awareness training on the limitations of human performance.

Aircraft Details
Manufacturer
British Aerospace PLC
Model
3200
Registration
VH-XFC
Serial number
949
Operation type
Air Transport Low Capacity
Departure point
Roma, QLD
Destination
Brisbane, QLD
Damage
Nil
Aircraft Details
Manufacturer
Fairchild Industries Inc
Model
SA226
Registration
VH-TFQ
Serial number
TC-395
Operation type
Air Transport Low Capacity
Departure point
Coolangatta, QLD
Destination
Brisbane, QLD
Damage
Nil
Aircraft Details
Manufacturer
British Aerospace PLC
Model
BAe 146
Registration
VH-JJS
Serial number
E2093
Operation type
Air Transport High Capacity
Departure point
Unknown
Destination
Brisbane, QLD
Damage
Nil