Aviation safety investigations & reports

In-flight break-up - Clonbinane, Vic; 31 July 2007, VH-YJB, Rockwell, Commander 500S

Investigation number:
AO-2007-029
Status: Completed
Investigation completed

Summary

Download Final Report
[Download  PDF: 6.43MB]
 

On 31 July 2007, a Rockwell International Aero Commander 500-S, registered VH-YJB, departed Essendon Airport, Vic. on a business flight to Shepparton that was conducted at night under the instrument flight rules (IFR). On board were the pilot and one passenger. At 1958 Eastern Standard Time, while in the cruise at 7,000 ft above mean sea level in Class C controlled airspace, radar and radio contact with the aircraft was lost when it was about 25 NM (46 km) north-northeast of Essendon.

The wreckage was found in the area of the last radar position and both occupants had been fatally injured. At the time, special weather reports for severe turbulence and severe mountain waves were current for that area. Wind speeds on the ground were reported to be 50 kts. Calculations made using the recorded radar data and forecast wind showed that the aircraft had been in cruise flight at speeds probably greater than its published manoeuvring speed, prior to disappearing from radar.

The wreckage and its distribution pattern were consistent with an in-flight breakup during cruise flight. The breakup most likely resulted from an encounter with localised and intense turbulence, or from an elevator control input, or from a combination of both. As a result of its investigation, the Australian Transport Safety Bureau reissued the publication Mountain Wave Turbulence (available for download at www.atsb.gov.au), distributed the investigation report to all Australian operators of the Aero Commander aircraft, and issued a safety advisory notice to aircraft operators and pilots. That notice encouraged aircraft operators to review their procedures to ensure an appropriate awareness amongst operating personnel of the implications for aircraft performance of the combination of aircraft weights and speed, and of the ambient conditions; in particular, when flying in, or near areas of forecast severe turbulence.

Download Final Report
[Download  PDF: 6.43MB]
 
 
 

Preliminary

Download Preliminary Report
[Download  PDF: 403KB]
 

Preliminary report released 12 October 2007

On 31 July 2007, a Rockwell Commander 500S, with a pilot and passenger on board, was making a night, instrument flight rules, business flight from Essendon Airport, Vic. to Shepparton. While cruising at 7,000 ft and approximately 25 NM (46 km) north-north-east of Essendon, the aircraft disappeared from radar. Attempts by the controller to contact the pilot were unsuccessful. Later that night the aircraft wreckage was found in timbered ranges near the last radar position. There were no survivors.

Wreckage was distributed over a considerable area and the outer wing sections and the tail had separated in flight. Subsequent wreckage reconstruction and examination of the fracture surfaces found no evidence of contributory fatigue cracking, pre-existing defects or structural corrosion.

At the time of the occurrence there was a north to north-westerly wind of 40 kts or greater in the area. The Bureau of Meteorology had issued two concurrent SIGMET warnings for the period of the flight. The first warned of severe mechanical turbulence over and south of the ranges, and the second warned of occasional severe mountain wave turbulence.

The Preliminary report contains factual information that has been obtained for the investigation to date and describes the focus of further investigations.

Download Preliminary Report
[Download  PDF: 403KB]
 
 
 
General details
Date: 31 July 2007   Investigation status: Completed  
Time: 2000 EST    
Location   (show map): 37 km NNE Melbourne   Investigation type: Occurrence Investigation  
State: Victoria   Occurrence type: In-flight break-up  
Release date: 09 November 2009   Occurrence class: Operational  
Report status: Final   Occurrence category: Accident  
  Highest injury level: Fatal  

Aircraft details

Aircraft details
Aircraft manufacturer Rockwell International  
Aircraft model 500  
Aircraft registration VH-YJB  
Serial number 3299  
Type of operation Business  
Damage to aircraft Destroyed  
Departure point Essendon, Vic  
Departure time 1946 EST  
Destination Shepparton, Vic  
Crew details
Role Class of licence Hours on type Hours total
Pilot-in-Command Commercial 970 2318
 
Injuries
  Crew Passenger Ground Total
Fatal: 1 1 0 2
Total: 1 1 0 2
Last update 14 November 2018