Community & Education Hong Kong

Hong Kong gov’t withheld six ‘rare’ aviation safety incidents from the public

There were six cases of safety incidents involving “loss of separation” last month because Hong Kong’s new air traffic management system (ATMS) did not operate correctly, according to informed sources from the Civil Aviation Department (CAD).

Five of the cases occurred during the peak-time Lunar New Year holidays, and none were made known to the public. The CAD instead emphasized that the system had “set new records” and performed outstandingly during January. Separation is the concept of keeping an aircraft a minimum distance from others to reduce the risk of collisions and wake turbulence. The ATMS should have raised a “predictive conflict alert”, followed by a “conflict alert”, but failed to do so.

aviation airport cover up near miss

Details of the six safety incidents involving loss of separation. Graphics: FactWire; Source: Multiple informed sources.

Experienced air traffic controllers said their frequency was “rare” and “unacceptable”. Under the old AT1 system, a maximum of eight to ten cases of “loss of separation” would occur in a year, front-line air traffic controllers told FactWire. The CAD dealt with cases carefully, categorizing their severity as “mild”, “attention-worthy” or “severe”. Safety reports or independent investigations would follow, they said.

“While it is far too many to have six cases of loss of separation within a month, the frequency is rare and it violates the principle of safety first. The authorities must not accept this,” one source said. The conflict alert system is a mandatory safety net of the ATMS. Based on information such as the climate and speed and flight path of the aircraft, the system calculates the probability of loss of separation, and alerts aircrafts if necessary. The system issues a conflict alert when there is a loss of separation, and a red, audible sign appears on the monitoring screen, the air traffic controllers said. A predictive conflict alert is issued at least 60 seconds before the conflict alert, when a yellow, audible sign appears. The aim is to allow time for CAD staff to instruct pilots to adjust flight paths and avoid a potential collision.

The six “loss of separation” incidents occurred on January 13, 19, 24, 26, 27 and 30. Peak traffic flow for Lunar New Year is January 19-30. FactWire confirmed five out of six incidents by tracking the flight paths of the aircrafts involved on a monitoring platform that shows live air traffic using round-the-clock satellite and radar data. The incident on January 19 remained unconfirmed due to technical limitations. The aircrafts involved in the five confirmed incidents failed to maintain a horizontal and vertical distance of at least 5NM and 1,000ft respectively, violating the standards of the International Civil Aviation Organization.

  • On January 13, aircraft UO3871, Hong Kong-bound from Tokyo and aircraft ZH9093, Hong Kong-bound from Quanzhou, had a loss of separation about 75NM east of Hong Kong International Airport. The two had a horizontal and vertical distance of only 3.8NM and 800ft respectively.
    aviation airport cover up near miss

    FactWire reporters employed a monitoring platform that uses satellite and radar data to track live air traffic. The photo shows that on 13 January around 8:30pm Hong Kong Time, aircraft UO3871 reached an altitude of FL191 (19,100ft). Aircraft ZH9093 reached an altitude of FL200 (20,000ft) and a vertical distance of less than 1,000ft. Photo: Factwire.

    aviation airport cover up near miss

    On 13 January, about 75NM east of Hong Kong International Airport (HKIA), two aircrafts UO3871 and ZH9093 had a horizontal distance of less than 5NM. Photo: FactWire.

  • On January 24, about 30NM southwest of the airport, Hong Kong-bound aircraft CX95 from Alaska and aircraft 5X138 (UPS) from Shenzhen bound for Angeles, Philippines had a horizontal and vertical distance of only 3.8NM and 800ft respectively.
    aviation airport cover up near miss

    On 24 January, aircraft 5X138 (UPS) reached an altitude of FL120 (12,000ft), and its vertical distance between aircraft CX95 (the one in red) was less than 1,000ft. Photo: Factwire.

  • On January 26, about 40NM southwest of the airport, aircraft CX347 from Beijing bound for Hong Kong deccelerated at 19,000ft and was caught up by business jet F2TH, also from Beijing and bound for Hong Kong. The two aircrafts reached the same altitude and the two were only 4NM horizontally apart.
    aviation airport cover up near miss

    On 26 January, about 40NM southwest of HKIA, aircrafts CX347 and F2TH reached the same altitude (19,000ft). The horizontal distance between the two aircrafts was only 4NM. Photo: Factwire.

    aviation airport cover up near miss

    On 26 January, about 40NM southwest of HKIA, aircrafts CX347 and F2TH reached the same altitude (19,000ft). The horizontal distance between the two aircrafts was less than 5NM. Photo: Factwire.

  • On January 27, about 100NM east of the airport, Hong Kong-bound aircraft CX561 from Osaka and Hong Kong-bound aircraft CX2585 from Hokkaido descended to 26,000ft at the same time and almost caught up with each other. At one point, the horizontal and vertical distance of the aircrafts were 4.7NM and 500ft respectively.
    aviation airport cover up near miss

    On 27 January, about 100NM east of HKIA, aircrafts CX561 and CX2585 descended to 26,000ft at the same time and almost caught up with each other. The horizontal and vertical distance between the two aircrafts was 4.7NM and 500ft at some point of time.

  • On January 30, about 10NM east of Hong Kong airspace waypoint ABBEY, Hong Kong-bound aircrafts CX405 and AE1841 flying out from Taipei and Taichung respectively had a horizontal distance of 4.4NM and vertical distance of 800ft.
    aviation airport cover up near miss

    On 30 January, about 10NM east of Hong Kong airspace waypoint ABBEY, aircraft AE1841(the one in red) reached an altitude of around 16,125ft, and aircraft CX405 reached an altitude of around 15,400ft (FL154). The vertical distance between the two aircrafts was less than 1,000ft. Photo: Factwire.

    aviation airport cover up near miss

    On 30 January, about 10NM east of Hong Kong airspace waypoint ABBEY, the horizontal distance between aircrafts CX405 and AE1841 was less than 5NM. Photo: Factwire.

  • As for the incident on January 19, about 250NM south of the Hong Kong International Airport, aircraft from Xiamen Airlines and Shenzhen Airlines apparently had a loss of separation at 34,000ft, and the horizontal distance did not meet the International Civil Aviation Organization’s requirements of 10NM at that position. FactWire was unable to confirm the incident due to limitations of the live air traffic monitoring platform.

The sources said the ATMS was unreliable on the need for, and the timing of, predictive conflict alerts. This was the main cause of the six “loss of separation” safety incidents. The problem was severe, they said, since the air traffic control staff were only able to react shortly after the issue of conflict alert, which was “too late” because the separation between aircrafts was already infringed and below the ICAO standards.

Multiple sources told FactWire the ATMS had not issued a predictive conflict alert on January 13. On January 26 and 30, the ATMS failed to issue a predictive conflict alert 60 seconds before the loss of separation. On January 30 in particular, the conflict alert was issued immediately after the predictive alert. On January 27, the air traffic control staff allegedly did not react to the predictive conflict alert, and only reacted after the separation was infringed.

airport-passenger-1

Photo: GovHK.

CAD management allegedly told staff that the six incidents showed that they were not making good enough use of the ATMS tools and paid no attention to the speed change and catch-up situation of the aircrafts. Staff alleged that the management had turned a blind eye to their concerns that the system frequently issued false alarms because it detected “ghost targets” (non-existent aircrafts, or mistakes in radar detection of aircraft’s position or altitude) and “split tracks” (an aircraft with two flight paths). As a result, some staff had lost confidence in the ATMS and were more likely to dismiss a predictive conflict alert, believing it to be just a false alarm.

The six incidents are not public knowledge. During a Commercial Radio interview on January 31, Deputy Director-General of Civil Aviation Kevin Choi did not give a direct response when asked twice on whether problems such as “ghost targets” and “split tracks” had occurred during the Lunar New Year holidays.

Choi emphasized instead that results of the overall testing of the ATMS showed no problems, and quoted feedback from air traffic control staff associations and airlines associations stating that the system had operated smoothly. The CAD issued a press release on February 1, saying: “Between January 19 and 29, the CAD handled over 2,000 daily flight movements for 11 consecutive days which is the best proof of the outstanding performance of the air traffic control staff and new ATMS in the face of persistently high demand for services.”

It further states that the CAD “will continue to closely monitor the performance of the new ATMS and expedite the system optimisation work”. The press release does not mention the six “loss of separation” safety incidents.

Anthony Cheung Bing-leung

Anthony Cheung Bing-leung. Photo: Factwire screencap.

Secretary for Transport and Housing Anthony Cheung Bing-leung visited the CAD headquarters to check out the new Air Traffic Control Centre and Control Tower at the Hong Kong International Airport yesterday (7 February) and learn about the operations of the ATMS. Cheung was accompanied by Director-General of Civil Aviation Simon Li Tin-chui and the two Deputy Director-Generals Victor Liu Chi-yung and Kevin Choi. FactWire reporters asked Cheung upon his departure whether the ATMS operated smoothly during the Lunar New Year holidays. Cheung replied that “the staff said it was fine, because it was the peak air traffic flow, and there were 2,000 daily flights per day including the ones passing the borders. They were handled smoothly.”

When asked about whether problems such as “ghost target”, disappearance of aircrafts and loss of separation occurred, Cheung replied that “usually when problems arise during what we call the integration period, those problems are foreseeable. There used to be some (problems) during the launch of the ATMS, but recently they were reduced, and some still have to be dealt with. (Do you mean that problems did not arise during the Lunar New Year holidays?) The problems commonly found during the integration period still exist, but those are not big problems and can be dealt with.”

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Photo: GovHK.

The CAD issued a press release yesterday evening (February 7), saying: “The Director-General of Civil Aviation told Professor Cheung that the Expert Panel set up by the CAD had evaluated the various teething issues encountered during the initial stage of the new ATMS’ full commissioning, and agreed that they did not undermine aviation safety nor affect the operations of the new ATMS.”

FactWire made written enquiries to the CAD this morning:

  • Did the safety incidents on 13, 19, 24, 26, 27 and 30 January involved loss of separation and what were the reasons behind?
  • Aside from six incidents, how many safety incidents involving loss of separation occurred during the operations of the ATMS?
  • For the six safety incidents, when was the predictive conflict alert and conflict alert issued before the loss of separation occurred?
  • How many seconds before/after it occurred? Did false alarm occur frequently for the two alerts? What are the numbers?
  • What were the reasons to the ATMS failing to issue a predictive conflict alert at an accurately-forecasted time?
  • Did the CAD communicate with the contractor, US-based Raytheon, to deal with the issue?
  • Did the CAD report the six safety incidents or other incidents involving loss of separation to the Transport and Housing Bureau?

US-based Raytheon was awarded the HK$480 million ATMS contract in February 2011. A report released by the Audit Commission in October 2014 showed that there was a delay in implementation, and that there were two contract variations totalling HK$89 million. The ATMS, known as AT3, was delayed for almost four years. Since its launch on November 14 last year, there have been multiple incidents of system “failure”, disappearances of aircrafts on screens, radar detection of “ghost targets” and “split tracks”.

Hong Kong gov't withheld six 'rare' aviation safety incidents from the public