Investigation number
AO-2015-122
Occurrence date
Location
Townsville Airport
State
Queensland
Report release date
Report status
Final
Investigation level
Short
Investigation type
Occurrence Investigation
Investigation status
Completed
Aviation occurrence category
Runway incursion
Occurrence class
Serious Incident
Highest injury level
None

What happened

On 10 September 2015, at about 0930 Eastern Standard Time (EST), an instructor and student pilot of a Cessna 172M aircraft, registered VH-EJM (EJM), were conducting circuits at Townsville Airport, Queensland.

The student was flying the aircraft and on mid-final for a touch-and-go landing on runway 07, when the instructor noticed a truck on the perimeter road, near the threshold to runway 07. The truck had not held at the stop sign. The stop sign required all vehicles to stop, look for aircraft, and not proceed unless there was no aircraft landing (Figure 1).

Shortly after the instructor sighted the truck, the Townsville Tower air traffic controller advised the pilots of EJM that there was a truck on the perimeter road. The instructor acknowledged the controller and they proceeded with the landing.

The aircraft conducted a touch-and-go and continued with several more circuits without incident.

Figure 1: Townsville airport perimeter road near runway 07

Figure 1: Townsville airport perimeter road near runway 07

Source: Google earth, modified by the ATSB

Instructor and aircraft operator comments

The instructor commented that another vehicle on the perimeter road, ahead of the truck, also did not stop at the stop sign.

The operator reported this could potentially have been a more serious issue if the student pilot was conducting their first solo flight, as there would be greater risk that the student might get low on the approach and might not see the truck.

Department of Defence investigation

The Department of Defence conducted an investigation into the serious incident. They determined that a contractor, driving a truck on the western perimeter road, failed to stop at the stop sign near the threshold of runway 07. VH-EJM missed the top of the truck by about 4 to 5 metres and the aircraft landed without incident.

The Department of Defence also conducted a subsequent investigation into an incident where a contractor driving a truck on the western perimeter road failed to stop at the stop sign near the threshold of runway 07. The pilot of a Cessna C172RG aircraft that was on short final, saw the truck coming towards their approach path and informed air traffic control. Air traffic control acknowledged the transmission. The truck stopped almost directly under the path of the arriving aircraft and the aircraft landed without incident.

The investigation determined that the stop signs located on the perimeter road on approach to runway 07 provided drivers with clear direction to stop, observe and give way to approaching aircraft. The failure of the drivers of the vehicles in these incidents to observe those protocols created the potential for a collision between the vehicle and the aircraft.

Safety action

Whether or not the ATSB identifies safety issues in the course of an investigation, relevant organisations may proactively initiate safety action in order to reduce their safety risk. The ATSB has been advised of the following proactive safety action in response to this occurrence.

Department of Defence

As a result of this occurrence, the airport operator has advised the ATSB that they are taking the following safety actions:

  • briefing material for contractors has been updated placing greater emphasis on safety around runways.
  • flashing lights have been installed on the stop signs, for the under-run service road, to improve observation of the sign by drivers.

ATSB comment

At the time of writing this report, two other similar events occurred on 8 and 10 December 2015. The occurrences were subsequent to the update of briefing material for contractors and the installation of flashing lights on the stop signs. The Department of Defence are conducting a review of their safety actions to see if there are any other options to prevent a re-occurrence.

Safety message

The International Civil Aviation Organization (ICAO) has identified runway safety as one of its priorities and has been working with countries and aviation organisations globally to reduce runway safety accidents. ICAO has developed a runway safety website, which offers a range of information and products to assist the aviation community to improve runway safety.

In addition, ICAO has published a Manual on the Prevention of Runway Incursions Doc 9870 AN/463, available from the ICAO website. The manual includes information on the prevention of runway incursions. The manual discusses that deficiencies in design, training, technology, procedures, regulations and human performance can result in a system break down and safety being compromised. A pilot, as part of the last line of defence, cannot assume that anyone will do the right thing, like the driver of the truck stopping at the stop sign, and they need to be prepared to re-evaluate the planned flight.

Additional information on runway safety is also available from the Airservices Australia webpage Runway safety.

In addition, Airservices Australia has published a guide for airside drivers, The Airside Drivers Guide to Runway Safety, which focuses on four aspects of operating safely on an aerodrome:

  1. planning your aerodrome operation
  2. aerodrome procedures
  3. communications
  4. aerodrome markings, signs and lights.

Aviation Short Investigations Bulletin Issue 46

Purpose of safety investigations

The objective of a safety investigation is to enhance transport safety. This is done through:

  • identifying safety issues and facilitating safety action to address those issues
  • providing information about occurrences and their associated safety factors to facilitate learning within the transport industry.

It is not a function of the ATSB to apportion blame or provide a means for determining liability. At the same time, an investigation report must include factual material of sufficient weight to support the analysis and findings. At all times the ATSB endeavours to balance the use of material that could imply adverse comment with the need to properly explain what happened, and why, in a fair and unbiased manner. The ATSB does not investigate for the purpose of taking administrative, regulatory or criminal action.

Terminology

An explanation of terminology used in ATSB investigation reports is available here. This includes terms such as occurrence, contributing factor, other factor that increased risk, and safety issue.

Publishing information 

Released in accordance with section 25 of the Transport Safety Investigation Act 2003

Published by: Australian Transport Safety Bureau

© Commonwealth of Australia 2016

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Aircraft Details
Manufacturer
Cessna Aircraft Company
Model
172M
Registration
VH-EJM
Serial number
17262423
Operation type
Flying Training
Sector
Piston
Departure point
Townsville, Qld
Destination
Townsville, Qld
Damage
Nil