No fatalities

2019-10-19: Piper Aircraft Corp PA-28-161 (VH-XDI) — Australian Airline Pilots Academy — Albury, New South Wales

Albury, New South Wales

On October 19, 2019, a Piper Aircraft Corp PA-28-161 (registration VH-XDI) operated by Australian Airline Pilots Academy was involved in an aviation accident near Albury, New South Wales. No fatalities were reported. Investigators recorded the probable cause as: The pilot of the PA-28 did not cite the ATR aircraft, which the controller had instructed them to follow, and did not advise the controller they did not have the aircraft sighted before turning on to the base leg of the circuit in front of the ATR aircraft,… This summary draws on records from the Australian Transport Safety Bureau (ATSB).

Sourcesthe Australian Transport Safety Bureau (ATSB)Primary reportUpdated 1779786019Data APIEditorial standards

A near collision occurred when the pilot of XDI misunderstood the approach sequence involving an ATR aircraft. The controller did not require readback of instructions, and both lost situational awareness.

Incident Overview

A near collision occurred between aircraft XDI and an ATR transport category aircraft during approach sequencing. The pilot of XDI was instructed to track as number two behind the ATR, but was unaware that the ATR (callsign Velocity 1174) was conducting a straight-in approach. The controller intended this sequence to maintain separation.

Traffic Information and Awareness

The controller likely assessed that XDI was not significant traffic for the ATR and did not pass traffic information to the ATR crew. However, the ATR crew knew an aircraft was operating in the area but did not visually locate XDI relative to their approach path until their Traffic Collision Avoidance System (TCAS) issued a Traffic Advisory (TA).

Pilot Actions and Misunderstandings

The ATR was cleared to land before XDI entered the circuit area. The pilot of XDI assumed the ATR was either on short final or already landed, and therefore did not check for aircraft on long final before turning base leg. When the pilot of XDI did not report sighting the ATR as expected, the controller sought corroborative evidence from the pilot on the ATR's position. This was a missed opportunity by both to ensure separation.

Controller Actions and Oversight

Although not required to provide separation, the controller had identified a potential conflict and established a sequencing plan. The controller passed separation responsibility to the pilot of XDI with an instruction to sight and follow the ATR. However, the controller did not require a readback of the instruction, missing the chance to confirm correct understanding. After issuing the instruction, the controller focused attention on a third aircraft, limiting visual scans of the ATR and XDI, which prevented early identification of their proximity.

Conclusion

These factors combined resulted in the near collision not being detected by the controller or pilots until the ATR crew received a TCAS TA and initiated a missed approach.