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On 7 May 2005, a Fairchild Aircraft Inc. SA227-DC Metro 23 aircraft, registered VH-TFU, with two pilots and 13 passengers, was being operated by Transair on an instrument flight rules regular public transport service from Bamaga to Cairns, with an intermediate stop at Lockhart River, Queensland. At 1143:39 Eastern Standard Time, the aircraft impacted terrain in the Iron Range National Park on the north-western slope of South Pap, a heavily timbered ridge, approximately 11 km north-west of the Lockhart River aerodrome. At the time of the accident, the crew was conducting an area navigation global navigation satellite system (RNAV (GNSS)) nonprecision approach to runway 12. The aircraft was destroyed by the impact forces and an intense, fuel-fed, post-impact fire. There were no survivors.

The accident was almost certainly the result of controlled flight into terrain, that is, an airworthy aircraft under the control of the flight crew was flown unintentionally into terrain, probably with no prior awareness by the crew of the aircraft's proximity to terrain. The investigation report identifies a range of contributing and other safety factors relating to the crew of the aircraft, Transair's processes, regulatory oversight of Transair by the Civil Aviation Safety Authority, and RNAV (GNSS) approach design and chart presentation. It also details safety action taken by various agencies to address the identified safety issues, and includes safety recommendations relating to those safety issues that had not been addressed by relevant agencies at the time of publication of this report.

Download Appendix A animation [ 4.41mb .isv]

An animation was prepared using Insight Animation™ software and is part of this report. A file containing the animation in Insight View™ format (.isv) is available for download from the ATSB website. This file requires the installation of an Insight Viewer that can be downloaded from Flightscape at no charge.

Recommendations

R20070002 | R20070003 | R20070004 | R20070005 | R20070006 | R20070007 | R20070008 | R20070009 | R20070010 | R20070011 | R20060019 | R20060020 | R20060021 | R20060022 | R20060002 | R20060003 | R20060005 | R20060006

Download Final Report
[PDF: 6.29MB]

 

 

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