The Airservices Australia MARUB SIX standard instrument departure and the missed approach procedure for runway 34R directed aircraft onto outbound tracks that did not sufficiently assure separation between aircraft following the procedures concurrently.
The safety action implemented by Airservices Australia is likely to address the safety issue, but the ATSB urges Airservices Australia to monitor the safety outcomes to optimise the procedure design in the long term.
In February 2020 Airservices advised that it would:
Subsequently, Airservices redesigned the missed approach for the Runway 34R instrument landing system (ILS) and ground-based augmentation system landing system (GLS) approaches, effective 2 December 2021.
Airservices reported:
The ATSB welcomes the safety action to reduce the likelihood of converging flight paths between aircraft flying these procedures concurrently, noting also that the later, and defined, missed approach turning point also should result in:
The ATSB also notes the complexity of designing procedures to minimise conflict, especially in the case of a missed approach with other aircraft departing the same runway, as there are many factors that Airservices is required to take into account. The ATSB urges Airservices to apply its expertise and data to monitor the safety outcomes on an ongoing basis so that the lowest-risk designs can be identified and implemented in the long term.