No fatalities

2020-08-31: Saab Aircraft Co. 340 (VH-ZRH) — REGIONAL EXPRESS PTY LTD — Carnarvon Airport, Western Australia

Carnarvon Airport, Western Australia

On August 31, 2020, a Saab Aircraft Co. 340 (registration VH-ZRH) operated by REGIONAL EXPRESS PTY LTD was involved in an aviation accident near Carnarvon Airport, Western Australia. No fatalities were reported. Investigators recorded the probable cause as: The flight crew of VH-ZRH were not aware, as they entered the runway, that VH-ITF had commenced its take-off roll. As a result, a potential conflict existed that required the pilot in command of VH-ITF to reject their take-off. This summary draws on records from the Australian Transport Safety Bureau (ATSB); 1 related events involving the same aircraft type or operator are linked below.

Sourcesthe Australian Transport Safety Bureau (ATSB)Primary reportUpdated 1779785825Data APIEditorial standards
Aircraft registered VH-ZRH
Aircraft registered VH-ZRH. Photo: Bidgee / CC BY-SA 3.0, via Wikimedia Commons

At Carnarvon, two aircraft, VH-ZRH and VH-ITF, were involved in a runway incursion after the crew of VH-ZRH, believing VH-ITF had departed, missed visual contact due to expectation bias. The pilot of VH-ITF rejected take-off.

Background

The incident involved two aircraft, VH-ZRH and VH-ITF, operating at Carnarvon. Crews of both aircraft were provided with sufficient information to maintain situational awareness and be alerted to relevant traffic. However, the pilots did not fully comprehend the traffic picture and did not recognize the potential conflict.

Incident Sequence

The flight crew of VH-ZRH believed that VH-ITF had departed, despite traffic information from Melbourne centre stating that VH-ITF was still taxiing at Carnarvon. Although a controller could provide such information if an aircraft had not yet made a departure call, the statement that VH-ITF was taxiing should have been assumed true until confirmed otherwise.

Expectations strongly influence information search and perception. The flight crew of VH-ZRH had developed an expectation that VH-ITF had already departed, which likely influenced their perception of subsequent information. This expectation bias likely affected their ability to visually scan for traffic before entering the runway. The captain looked but did not see VH-ITF on the threshold. The ARO (Aerodrome Reporting Officer) could see VH-ITF from a similar position.

The pilot of VH-ITF was fully aware that VH-ZRH was taxiing and, hearing all transmissions, assumed that the other crew was equally aware of VH-ITF. The pilot expected VH-ZRH to hold short and saw no need for direct radio contact to clarify intentions. As the pilot of VH-ITF had VH-ZRH visual, they were able to quickly reject the take-off when VH-ZRH entered the runway.

Findings

The source indicates that expectations played a key role in the incident. The ATSB notes that the background may have masked VH-ITF from the captain’s scan, but the ARO could see it from a similar position. No probable cause is stated in the source.