“This shift may have diminished their situational awareness, resulting in expectation bias or cognitive overload, which prevented them from recognising the visual cues indicating they were at the taxiway intersection instead of the runway intersection,” the report noted.The flight crew did not fully comply with the ATC’s taxi instructions and failed to enter Taxiway A5 before aligning the aircraft for take-off. “Had the crew followed the correct instructions and entered TWY A5 before turning for line-up, the incident could have been avoided,” the report stated.Several other factors also contributed to the incident. The airport did not have an Advanced Surface Movement Guidance and Control System (A-SMGCS), which could have improved crew awareness. Meanwhile, the co-pilot was preoccupied with troubleshooting the Electronic Flight Bag (EFB), which had gone into sleep mode. The EFB displays a dynamic map showing the aircraft’s real-time position using data from the Flight Management System.“The co-pilot was trying to restore the EFB display to ON mode to initiate the LINE-UP checklist. During this time, he failed to verify the departure runway while the flying pilot was incorrectly lining up on Taxiway A,” the report said.Key Recommendations:1. The Airports Authority of India should consider installing an A-SMGCS system at Goa airport.2. Air India and the Directorate General of Civil Aviation (DGCA) should coordinate with IT teams to prevent EFB systems from entering sleep mode during critical operations.3. All airline operators should encourage cockpit crews to cross-check their aircraft’s position using the Aircraft Moving Map alongside primary navigation tools before take-off.
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