Investigation number
200403722
Occurrence date
Location
Melbourne, Aero.
Report release date
Report status
Final
Investigation type
Occurrence Investigation
Investigation status
Completed
Occurrence category
Incident
Highest injury level
None

As a result of this occurrence, the aircraft operator has issued
an information package to its crews concerning airport operations.
The package contains guidance on:

  • hazards associated with airport operations
  • operational and human factors involved in runway
    incursions
  • best practices, prevention strategies and lines of defence
  • cockpit procedures for maintaining situational awareness

The aerodrome operator reported that, as a result of this
occurrence it is examining options relating to improving the
delineation of holding bays at Melbourne Airport to reduce the
potential for misidentification.

______________

1
Taxiways at Melbourne Airport were referred to by their
phonetic identifier. The taxiways referred to during this incident
were taxiways Echo, Papa, Quebec, Sierra, and Tango.

Aircraft Details
Manufacturer
The Boeing Company
Model
737
Registration
ZK-FDM
Operation type
Air Transport High Capacity
Departure point
Melbourne, VIC
Destination
Hamilton, NZ
Damage
Nil