Investigation number
AO-2011-142
Occurrence date
Location
near Richmond Airport
State
New South Wales
Report release date
Report status
Final
Investigation level
Systemic
Investigation type
Occurrence Investigation
Investigation status
Completed
Aviation occurrence type
Loss of separation assurance
Occurrence category
Incident
Highest injury level
None

What happened

On 5 November 2011, a Construcciones Aeronáuticas S A C212-CC (C212) aircraft, registered VH-MQD, was conducting parachute operations, in controlled airspace, over the Western Grass Drop Zone at Royal Australian Air Force Base Richmond Aerodrome (Richmond), New South Wales (NSW). Air traffic control (ATC) had assigned the C212 flight crew clearance to conduct a parachute drop.

A Boeing Company 737-7BX (737) aircraft, registered VH-VBP, operating a scheduled passenger flight from Sydney, NSW to Cairns, Queensland, was cleared by ATC to track via Richmond, underneath the C212. A loss of separation occurred between the declared parachute operations area and the 737. At the time, the paratroopers had just exited the C212 and ATC issued the 737 flight crew, who were in the process of taking avoiding action, with a safety alert. The last paratrooper out of the aircraft reported that while in free fall and about 10 seconds after exiting the aircraft, they were at the same altitude as the 737, about 2,000 m away.

What the ATSB found

The ATSB identified that Airservices Australia (Airservices) had no standard, documented procedure to assure separation of aircraft departing Sydney via Richmond during parachute operations at Richmond, nor a documented means for controllers to display in the air traffic control computer system when a parachute drop clearance had been issued.

The ATSB also found that two of the controllers involved had not been provided with training in compromised separation recovery techniques. Furthermore, Airservices’ process for recognition of prior learning, and the subsequent training provided to one of the controllers, had not effectively addressed the variances between that controller’s skills and knowledge (after an absence working overseas) and the operational role requirements of a Sydney Terminal Control Unit air traffic controller.

What's been done as a result

Airservices advised that the Sydney Terminal Control Unit Local Instructions were amended to include a requirement for coordination between the Sydney Approach West controller and the adjacent Departures position when parachute operations were being conducted at Richmond.

Airservices also amended their procedures manual to include human-machine interface directives for the display of information for aircraft involved in parachute operations.

Safety message

This occurrence highlights three important safety lessons for air traffic controllers and flight crew:

  • Documented procedures and phraseology are crucial when managing risks associated with unfamiliar operations
  • Terminal area speed restrictions help maintain aircraft separation— air traffic controllers should always consider the potential safety implications before cancelling a speed restriction
  • Flight crews need to be aware that the cancellation of a speed restriction may not always be available when requested, due to operational ATC requirements.
Aircraft Details
Manufacturer
Construciones Aeronáuticas S A
Model
C-212
Registration
VH-MQD
Serial number
272
Operation type
Aerial Work
Sector
Turboprop
Departure point
Richmond, NSW
Destination
Richmond, NSW
Damage
Nil
Aircraft Details
Manufacturer
The Boeing Company
Model
737
Registration
VH-VBP
Aircraft Operator
Virgin Australia
Serial number
30743
Operation type
Air Transport High Capacity
Sector
Jet
Departure point
Sydney, NSW
Destination
Cairns, Qld
Damage
Nil