Investigation number
200203094
Occurrence date
Location
324 km NNE Melbourne
Report release date
Report status
Final
Investigation type
Occurrence Investigation
Investigation status
Completed
Occurrence category
Incident
Highest injury level
None

Australian Transport Safety Bureau (ATSB) Safety
Action

As a result of the investigation, the Australian Transport
Safety Bureau issues the following recommendations:

Recommendation R20030056

The Australian Transport Safety Bureau recommends that
Airservices Australia conduct a review to determine why flight
crews were able to submit flight plans and operate on non-standard
routes in contravention of the AIP, which required crews to plan on
routes provided to the air traffic control system by the
publication of air route specifications.

Recommendation R20030057

The Australian Transport Safety Bureau recommends that
Airservices Australia conduct a review to establish the extent of
the use of non-standard levels in situations initiated by pilots
and in situations initiated by controllers.

Recommendation R20030058

The Australian Transport Safety Bureau recommends that the Civil
Aviation Safety Authority review the Table of Cruising Levels in
AIP and its continuing relevance.

ADDITIONAL INFORMATION IN SUPPORT OF THE ATSB'S
RECOMMENDATIONS

The following extracts are taken from Bureau investigations
completed since 1997. They are provided as an indication of where
the use of a non-standard level was a factor in selected
occurrences and do not attempt to provide all the factors involved
in those investigations. Full reports of these occurrences are
available from the ATSB on request.

BO/199702768

The westbound A320, VH-HYA, was maintaining a non-standard
flight level (FL370) which resulted in an eastbound A320, VH-HYR,
being given a non-standard level (FL350) for the initial level
clearance. This consequential action had the effect of placing
VH-HYR in direct conflict with the 737. Had standard levels been
applied on the two-way route system that was under procedural
control, a safety net would have been put in place. This net would
have become prominent had the Perth controller not observed the
radar paint of the 737.

BO/199802755

The approval for the B767 to operate at a non-standard level for
the track flown cancelled the defence normally provided to the air
traffic system by the use of standard levels.

BO/200002060

The controller stated that although he had acknowledged that CZA
was at FL370, he was not fully aware that the aircraft was at a
non-standard level. He was concentrating on the voice switching and
communication system and the potential problems for sequencing
aircraft that were soon to enter his airspace.

The controller stated that had allowed his "scan" to be diverted
and, when the short-term conflict alert activated, he knew
immediately what the problem was and acted to rectify the
infringement of separation standards. He was unable to explain
either his poor task prioritisation or his memory lapse.

BO/200103344

The crew of the 737 was recleared from a standard level to a
non-standard level and, in order to provide track shortening, from
a track that would have provided separation with the B767, to one
that conflicted with the B767. The allocation of a non-standard
flight level on a one-way route does not guarantee separation from
opposite traffic on other, crossing, one-way routes. However, the
planned routes of these two aircraft did not cross and were
laterally separated. The conflict would have been avoided had the
737 continued on its planned route or had it maintained a standard
level.

BO/200104881

Separation assurance with the northbound Dash 8 was lost when
the crew of the southbound Dash 8 was assigned a non-standard
flight level. The conflict would have been avoided had a standard
level been assigned.

Aircraft Details
Manufacturer
The Boeing Company
Model
737
Registration
VH-TJT
Serial number
24445
Operation type
Air Transport High Capacity
Departure point
Melbourne, VIC
Departure time
0937 hours EST
Destination
Coolangatta, QLD
Damage
Nil
Aircraft Details
Manufacturer
Cessna Aircraft Company
Model
500
Registration
VH-HKX
Serial number
5000050
Operation type
Private
Departure point
Coolangatta, QLD
Departure time
0816 hours EST
Destination
Essendon, VIC
Damage
Nil