Investigation number
200003793
Occurrence date
Location
Cairns, 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

The pilot of a Cessna 150 (C150) was taxiing for departure from
runway 33 at Cairns for a private local area flight. At 1610:15
Eastern Standard Time, he reported to air traffic control that he
was ready to depart and was at the "Yankee" taxiway holding point.
The "Yankee" holding point was located 837m north of the runway 33
threshold. The controller responded by authorising the pilot to
"line-up" behind a landing Twin Otter aircraft. The pilot
acknowledged and complied with that instruction.

The crew (a student and instructor) of a Beech Super King Air
(B200), had been operating in the local area on a training flight.
They had flight planned for a "touch and go" landing on their
return to Cairns, with circuit work to follow. The student was the
handling pilot and, at 1614:00, was cleared for a "touch and go"
landing. The touch down point was expected to be at, or near, the
instrument touch down markers; approximately 450m from the runway
33 threshold.

On hearing the crew acknowledge the landing instruction, the
pilot of the C150 broadcast to the controller that he was still on
the runway. At 1614:13, the controller instructed the crew of the
B200 to "go round". The crew commenced the go-around from a
position approximately 100ft above the runway and 200m past the
runway threshold.

The flight progress strips for both aircraft were in the
"active" bay of the aerodrome controller's console but the exact
location within that bay could not be established. The controller
remembered that he placed the landing strip for the B200 in the
"runway occupied" position within the active bay when he issued the
landing clearance.

The controller had forgotten that the C150 was lined-up and,
although completing a visual scan of the runway before issuing the
crew of the B200 with a landing clearance, did not see the aircraft
at the "Yankee" intersection.

Other controllers in the tower were attending to their own
duties at the time and were not aware of the impending
incident.

The instructor in the B200 had seen the C150 on the runway and
was expecting air traffic control to issue either a take-off
clearance for that aircraft or a go-around instruction for his
aircraft. As they approached the runway threshold, he briefed the
student to expect a go-around and that if the controller did not
issue an instruction, they would initiate a turn over the water
clear of the departure path. However, the intended action was not
initiated and the go-around was delayed until after the controller
had issued his instruction.

The controller normally used the "runway occupied" position at
the console. That position was used as a memory jogger to ensure
that if the runway was occupied, a second user could not be cleared
to use that runway. In this occurrence, had the flight strip for
the C150 been placed in the "runway occupied" position, the
controller should not have authorised the B200 to use the runway
without first placing the flight strip for that aircraft into that
same position; thus a memory jog would have occurred, prompting the
controller that the runway was occupied.

Aircraft Details
Manufacturer
Cessna Aircraft Company
Model
150
Registration
VH-IRQ
Serial number
A1500482
Operation type
Private
Departure point
Cairns, QLD
Destination
Cairns, QLD
Damage
Nil
Aircraft Details
Manufacturer
Beech Aircraft Corp
Model
200
Registration
VH-HLJ
Operation type
Flying Training
Departure point
Cairns, QLD
Destination
Cairns, QLD
Damage
Nil