Customize Consent Preferences

We use cookies to help you navigate efficiently and perform certain functions. You will find detailed information about all cookies under each consent category below.

The cookies that are categorized as "Necessary" are stored on your browser as they are essential for enabling the basic functionalities of the site. ... 

Always Active

Necessary cookies are required to enable the basic features of this site, such as providing secure log-in or adjusting your consent preferences. These cookies do not store any personally identifiable data.

No cookies to display.

Functional cookies help perform certain functionalities like sharing the content of the website on social media platforms, collecting feedback, and other third-party features.

No cookies to display.

Analytical cookies are used to understand how visitors interact with the website. These cookies help provide information on metrics such as the number of visitors, bounce rate, traffic source, etc.

No cookies to display.

Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors.

No cookies to display.

Advertisement cookies are used to provide visitors with customized advertisements based on the pages you visited previously and to analyze the effectiveness of the ad campaigns.

No cookies to display.

January 22, 2024 | Susan Napier-Sewell

Lessons Learned: Wrong Runway

runway

Pilot possibly distracted, chose wrong approach and runway.

After attending to an uneasy passenger while orbiting over the sea, the pilot inadvertently approached and landed on Runway 03 instead of the active Runway 08.

The ATCO, who was attending to ground activities, did not observe the aircraft during its final approach.

The [AAIB, Air Accidents Investigation Bureau] report considers the importance of recovering situation awareness and adopting sterile cockpit procedures before commencing with an approach. It discusses vigilance in ATC and the importance of teamwork in detecting possible misperceptions.

The air traffic services unit is taking safety action relating to the monitoring of aircraft, and team resource management training.

The aircraft was cleared on Ronaldsway’s radar frequency to enter the control zone under VFR, and advised to expect joining right hand downwind for landing on Runway 08, which was in use. When around 3.5 nm south-east of the airport at 2,800 ft amsl, the aircraft was transferred to the tower frequency. The ATCO reported a surface wind from 080° at 9 kt, offering the pilot a choice of Runways 08 or 03.

The pilot requested Runway 08 before being instructed to ‘report ready for right base runway zero eight.’ The aircraft appeared to turn downwind for Runway 08 although its position was also consistent with right base for Runway 03.

From there, the pilot reported ready for right base (Figure 2). He was instructed to orbit left to accommodate an ATR 76 on a commercial air transport flight that was joining final for Runway 08 at 8 nm.

The pilot was unable to see the ATR during its approach so the ATCO advised him when it landed, and the pilot reported ready to leave the orbit.

Content/source credit: Read the full AAIB report, “AAIB investigation to Vans RV-7, G-RVDB,” published December 14, 2023.

Sign up for a TapRooT® Root Cause Analysis Training Course

Circumstances can crop up anywhere at any time if proper and safe sequence and procedures are not planned and followed. We encourage you to learn and use the TapRooT® System to find and fix problems.

TapRooT® has a team of investigators and instructors with years of extensive training ready to offer assistance worldwide. We also offer ongoing support to our clients through free newsletters and Root cause tip videoS, the root cause analysis blog, and our annual Global TapRooT® Summit.

Register for one of our courses. We offer a basic 2-Day course and an advanced 5-Day course

Contact us or call 865.539.2139 about having a course at your site or for further root cause analysis opportunities. We’re here to find solutions for you.

TapRooT® courses are taught all over the world; if you need specific times or locations, please see our full selection of courses

Categories
Accident, Investigations
-->
Show Comments

Leave a Reply

Your email address will not be published. Required fields are marked *