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Date: | Thursday 5 July 2012 |
Time: | 13:22 |
Type: | Airbus A319-112 |
Owner/operator: | China Eastern Airlines |
Registration: | B-2332 |
MSN: | 1303 |
Year of manufacture: | 2000 |
Engine model: | CFMI CFM56-5B6/P |
Fatalities: | Fatalities: 0 / Occupants: 27 |
Other fatalities: | 0 |
Aircraft damage: | None |
Category: | Serious incident |
Location: | Okinawa-Naha Airport (OKA/ROAH) -
Japan
|
Phase: | Taxi |
Nature: | Passenger - Scheduled |
Departure airport: | Okinawa-Naha Airport (OKA/ROAH) |
Destination airport: | Shanghai-Pudong International Airport (PVG/ZSPD) |
Investigating agency: | JTSB |
Confidence Rating: | Accident investigation report completed and information captured |
Narrative:China Eastern Airlines flight 2046, an Airbus A319-112 (B-2332) and an AirAsia Japan Airbus A320-214 (JA01AJ), were involved in a runway incursion incident at Okinawa-Naha Airport.
Flight 2046 was taxiing toward runway 18 at Naha Airport in order to depart for Shanghai-Pudong Airport. Meanwhile, the an AirAsia Japan Airbus A320 was on the final approach after receiving a landing clearance for runway 18 at Naha Airport during a flight test required before commencing commercial transport services.
Although the air traffic controller instructed B-2332 to hold short of the runway, the aircraft entered the runway; as a result, JA01AJ made a go-around following the instructions from the air traffic controller.
Probable Causes
It is highly probable that this serious incident occurred because the departing aircraft (B2332) made an incursion onto the runway despite being instructed to hold short of the runway, causing the arriving aircraft (JA01AJ), which had already been cleared to land, to attempt to land on the same runway.
It is highly probable that B2332 entered the runway because the flight crewmembers of the aircraft misheard and misunderstood the instruction to hold short of the runway as an instruction to hold on the runway and could not find the arriving aircraft, as well as because the air traffic controller did not recognize that the readback from the aircraft was incorrect and consequently did not confirm or correct the readback.
It is somewhat likely that noise occurring in the sound of the hold instruction from the air traffic controller contributed to the mishearing of the instruction by the flight crewmembers, and also that the misunderstanding by the flight crewmembers that they were allowed to enter the runway and the mind that there was no arriving aircraft contributed to the result that the flight crewmembers could not find the arriving aircraft.
It is also somewhat likely that the following contributed to the fact that the air traffic controller did not notice the incorrect readback and failed to confirm or correct the readback.
(1) The air traffic controller heard the readback from B2332 over a loudspeaker without wearing a headset.
(2) The readback from B2332 was unclear.
(3) The air traffic controller assumed that her own instructions were read back correctly.
Accident investigation:
|
| |
Investigating agency: | JTSB |
Report number: | DCA12WA105 |
Status: | Investigation completed |
Duration: | 2 years and 10 months |
Download report: | Final report |
|
Sources:
NTSB DCA12WA105
Revision history:
Date/time | Contributor | Updates |
02-Jun-2023 17:00 |
ASN Update Bot |
Added |
05-Aug-2023 09:00 |
harro |
Updated |
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