TCAS Resolution Advisory triggered by aircraft misidentification and incorrect positioning reports

No fatalities • Brisbane West Wellcamp Aerodrome, Queensland

A mid-air conflict involving two aircraft occurred after incorrect radio broadcasts and ineffective monitoring led to a breakdown in situational awareness.

What happened

An aircraft conflict occurred involving VH-WXB and VH-ZLV during circuit operations. While approaching the airport, the flight crew of VH-ZLV broadcast that they were on an early downwind leg, when they were actually on an early crosswind for runway 12. At the same time, other aircraft, VH-EQV and VH-YNH, were also present in the circuit.

The pilot of VH-WXB believed they had visual and TCAS contact with VH-ZLV; however, flight data revealed that the pilot had likely misidentified VH-YNH as VH-ZLV. This misidentification, compounded by the incorrect position report from VH-ZLV, led the pilot of VH-WXB to execute a non-standard circuit entry. The pilot of VH-WXB flew opposite to the established traffic direction while descending to circuit height, crossing the flight path of VH-ZLV. This maneuver resulted in the crew of VH-ZLV receiving a TCAS Resolution Advisory (RA).

The investigation

The investigation examined the radio communications and flight data to determine why the aircraft failed to maintain separation. It was found that the crew of VH-ZLV had established an agreement for VH-WXB to follow them as number two in the sequence. However, the crew of VH-ZLV did not effectively monitor subsequent radio transmissions from VH-WXB.

Because the crew of VH-ZLV believed separation had already been organized, they likely discounted VH-WXB as a potential threat, shifting their focus to other traffic and landing preparations. This lack of monitoring, combined with the difficulty of spotting a lower aircraft while performing a right turn, meant the crew became dependent on visual or TCAS detection to identify the conflict.

Probable cause

The conflict was caused by the flight crew of **VH-ZLV** broadcasting an incorrect position, which led the pilot of **VH-WXB** to misidentify the aircraft and perform a non-standard circuit entry. This was compounded by the **VH-ZLV** crew's failure to effectively monitor radio communications, creating an incorrect mental model of the traffic situation.

Frequently asked questions

What happened in the 2021-10-21 Beech Aircraft Corp B200 accident near Brisbane West Wellcamp Aerodrome, Queensland?

A mid-air conflict involving two aircraft occurred after incorrect radio broadcasts and ineffective monitoring led to a breakdown in situational awareness.

Were there any fatalities in the 2021-10-21 Beech Aircraft Corp B200 accident?

No fatalities were recorded in this accident.

What aircraft was involved and where did it happen?

The accident on 2021-10-21 involved a Beech Aircraft Corp B200, registration VH-WXB, operated by Regional Express, at Brisbane West Wellcamp Aerodrome, Queensland.

What was the probable cause of the accident?

The conflict was caused by the flight crew of **VH-ZLV** broadcasting an incorrect position, which led the pilot of **VH-WXB** to misidentify the aircraft and perform a non-standard circuit entry. This was compounded by the **VH-ZLV** crew's failure to effectively monitor radio communications, creating an incorrect…

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