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A collection of aviation investigations covering a range of safety issues

ATSB Short Investigation Bulletin Issue 24

The Aviation Short Investigation Bulletin covers a range of the ATSB’s short investigations and highlights valuable safety lessons for pilots, operators and safety managers.

Released periodically, the Bulletin provides a summary of the less-complex factual investigation reports conducted by the ATSB. The results, based on information supplied by organisations or individuals involved in the occurrence, detail the facts behind the event, as well as any safety actions undertaken. The Bulletin also highlights important Safety Messages for the broader aviation community, drawing on earlier ATSB investigations and research.

Issue 24 of the Bulletin features 15 safety investigations:

Jet aircraft

  • Runway event involving a Fokker F28, VH-JFB
  • Ground proximity event between a Boeing 737, VH-VZA and a security vehicle

Turboprop aircraft

  • Wheels up landing involving a Cessna 441, VH-SMO
  • Airspace related event involving a Saab 340B, VH-ZLJ and parachutists
  • Wirestrike involving an Air Tractor AT 502, VH-CJY

Piston aircraft

  • Landing on a closed runway involving a Cessna 404, VH-HVR
  • Fuel starvation event involving a Beech BE58, VH-ECL
  • Loss of control involving a Piper PA 28R-200, VH-MMU
  • Engine fire involving a Beech A36, VH-FFY
  • Runway incursion involving a De Havilland DH 82, VH-BJE and a Piper PA 34, VH-SEN
  • Runway incursion between a Cessna 206, VH -LHX and a Cessna 210, VH-HGZ
  • Total power loss involving a Piper PA 28 140, VH-RVJ


  • Partial power loss involving a Bell 47G, VH-RTO
  • Aircraft proximity event between a Cessna 172, VH-RQZ and an Agusta AW139, VH-ESZ
  • Aircraft configuration event involving a Robinson R22, VH-ONT


Read the ATSB’s Aviation Short Investigation Bulletin – Issue 24

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Last update 10 December 2013