Loss of separation involving aircraft LQG due to autopilot disconnection and pilot distraction

No fatalities • near Sydney Airport, New South Wales

An aircraft failed to maintain its assigned altitude of 5,000 ft during a period of conflicting traffic, leading to a loss of separation with aircraft OKF.

What happened

During the flight, the pilot flying (PF) initiated a speed increase to 210 knots, a maneuver consistent with company procedures when tracking toward a destination. At approximately the same time the speed was increased, the autopilot began capturing the assigned altitude. This simultaneous occurrence caused the autopilot to revert to pitch mode. Because the aircraft was climbing at an unusually high rate—driven by the use of normal take-off power during departure—the altitude capture occurred earlier than anticipated.

Concerned that the autopilot was not correctly configured to maintain the assigned altitude, the PF disconnected the system to hand-fly the aircraft. Following a reconfiguration of the autopilot modes by the pilot monitoring (PM), the PF attempted to reconnect the autopilot, believing it would successfully maintain the aircraft at 5,000 ft. However, the reconnection attempt was unsuccessful. The PF was distracted by searching for conflicting traffic and did not realize the system had failed to engage, while the PM did not correctly verify the autopilot status. Consequently, LQG climbed through its assigned altitude, resulting in a loss of separation with OKF.

The investigation

The investigation focused on the interaction between the aircraft's automated systems and the flight crew's manual inputs. Investigators examined why the altitude capture occurred unexpectedly and how the autopilot transitioned into pitch mode. The inquiry also looked into the crew's monitoring processes during the period when they were managing conflicting traffic.

Probable cause

The loss of separation was caused by the pilot's failure to ensure the autopilot was successfully reconnected following a manual intervention, compounded by distraction from searching for conflicting traffic and a lack of verification by the pilot monitoring.

Frequently asked questions

What happened in the 2016-12-09 Bombardier Inc DHC-8-402 accident near near Sydney Airport, New South Wales?

An aircraft failed to maintain its assigned altitude of 5,000 ft during a period of conflicting traffic, leading to a loss of separation with aircraft OKF.

Were there any fatalities in the 2016-12-09 Bombardier Inc DHC-8-402 accident?

No fatalities were recorded in this accident.

What aircraft was involved and where did it happen?

The accident on 2016-12-09 involved a Bombardier Inc DHC-8-402, registration VH-LQG, operated by Air New Zealand, at near Sydney Airport, New South Wales.

What was the probable cause of the accident?

The loss of separation was caused by the pilot's failure to ensure the autopilot was successfully reconnected following a manual intervention, compounded by distraction from searching for conflicting traffic and a lack of verification by the pilot monitoring.

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