AAIB Recommends Inspection Of Airlines' Safety Management Systems By DGCA
AAIB has recommended DGCA inspect airlines' safety management systems following an airprox incident involving two IndiGo flights in Delhi airspace on November 17, 2023. The investigation identified non-adherence to SOPs and inadequate safety measures as probable causes, while revealing six previous SID-deviation events involving IndiGo aircraft from August to November 2023 with poor reporting practices.

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The Aircraft Accident Investigation Bureau (AAIB) has recommended that aviation regulator DGCA carry out inspections to assess the effectiveness of airlines' safety management systems following a serious airprox incident involving two Interglobe Aviation planes. The recommendation comes after a comprehensive investigation into an incident that occurred in Delhi airspace on November 17, 2023.
Investigation Findings
The AAIB's 35-page final investigation report examined the airprox incident involving IndiGo's A321 aircraft operating flight IGO2113 from Delhi to Hyderabad and A320 plane operating flight IGO2206 from Delhi to Raipur. An airprox refers to two aircraft coming closer than the permitted distance between them, while Standard Instrument Departure Route (SID) pertains to the route an aircraft takes from take-off to the enroute phase.
| Incident Details: | Information |
|---|---|
| Date: | November 17, 2023 |
| Location: | Delhi airspace |
| Aircraft 1: | IndiGo A321 (IGO2113, Delhi-Hyderabad) |
| Aircraft 2: | IndiGo A320 (IGO2206, Delhi-Raipur) |
| Report Length: | 35 pages |
Probable Causes Identified
The investigation identified several probable causes for the serious incident:
- Non-adherence to Standard Operating Procedures (SOP) by the crew of IGO2113 during cockpit preparation
- Failure to update the SID when provided
- Inadequate measures taken to minimize disturbances during cockpit preparation
- Failure to cross-verify SID information during the TPC (Threats-Plan-Considerations) briefing
- Lack of monitoring during the climb phase
The airline's failure to take timely action despite repeated SID-related occurrences prior to the particular incident was identified as a contributing factor.
Pattern of Safety Concerns
AAIB's detailed examination of occurrence data provided by the Airports Authority of India (AAI) revealed a concerning pattern of safety incidents:
| Period: | August 2023 to November 2023 |
|---|---|
| SID-deviation events: | Six incidents involving IndiGo aircraft |
| PDR entries recorded: | None for any SID deviations |
| Crew reporting: | Two events not reported by flight crews |
| Airline reporting to DGCA/AAIB: | Both incidents unreported |
Scrutiny of occurrence and safety reports, along with technical logbooks for the involved aircraft, showed that no Pilot Defect Report (PDR) entries were recorded for any of the SID deviations. The two events were brought to the airline's attention through an email from AAI rather than internal reporting mechanisms.
AAIB Recommendations
The investigation bureau has made several key recommendations:
For DGCA:
- Conduct a one-time inspection to assess the effectiveness of safety management systems of all scheduled operators and air navigation service providers
- Reiterate rules to ensure compliance with prompt reporting of mandatory occurrences
For AAI:
- Conduct a study on unjustified Short Term Conflict Alert (STCA)
- Study other Air Navigation Service Providers conducting high-intensity simultaneous parallel departures
- Identify possible shortcomings in airspace design and Air Traffic Control procedures
Corrective Actions Taken
The report noted that IndiGo has implemented corrective measures including:
- Reiterating the importance of completing aircraft set-up before conducting briefings
- Ensuring correct Flight Management and Guidance System (FMGS) entry
- Avoiding disturbances during cockpit preparation
- Carrying out comprehensive cross-checks during training activities
The AAIB's recommendations underscore the critical importance of robust safety management systems and proper incident reporting mechanisms in maintaining aviation safety standards across the industry.
Historical Stock Returns for Interglobe Aviation
| 1 Day | 5 Days | 1 Month | 6 Months | 1 Year | 5 Years |
|---|---|---|---|---|---|
| -0.90% | -3.02% | -8.64% | -14.64% | +13.35% | +178.61% |
















































