Aviation safety investigations & reports

Collision with terrain - VH-ZRR, 21 km SE of Kojonup ALA WA, 17 November 2009

Investigation number:
AO-2009-070
Status: Completed
Investigation completed

Summary

Download Final Report
[Download  PDF: 269KB]
Alternate: [Download  DOC: 476KB]
 

At about 0800 Western Standard Time on 17 November 2009, the pilot of a Cessna Aircraft Company A188B Agwagon, registered VH-ZRR was fatally injured when his aircraft impacted terrain during spraying operations near Kojonup, Western Australia. The aircraft sustained serious damage.

The investigation determined that the aircraft stalled at an altitude from which the pilot was unable to recover before the aircraft impacted terrain.

The investigation identified two safety issues in regards to the supervision of agricultural pilots. The first related to confusion within the aerial application industry concerning the required regulatory authorisation for a pilot that is the supervisor of a pilot holding an Agricultural Pilot (Aeroplane) Rating Grade 2 (Ag 2 pilot). In response to this issue, CASA provided an explanation of the relevant legislative material, which has been reproduced in this report, as well as an undertaking to provide education to industry on this matter. The second safety issue concerned the lack of guidance on the supervision of pilots with an Ag 2 rating. In response CASA has agreed to provide Advisory Circular guidance to industry on how to supervise Ag 2 pilots.

Download Final Report
[Download  PDF: 269KB]
 
 
Alternate: [Download  DOC: 476KB]
 

Preliminary

Download Preliminary Report
[Download  PDF: 217KB]
 

Report released 25 January 2010

At about 0800 Western Standard Time on 17 November 2009, the pilot of a Cessna Aircraft Company A188B Agwagon was fatally injured when his aircraft impacted terrain while conducting spraying operations near Kojonup, WA. The aircraft was destroyed.

Download Preliminary Report
[Download  PDF: 217KB]
 
 
 

Safety Issues

Go to AO-2009-070-SI-01 - Go to AO-2009-070-SI-02 -

Regulatory Authorisation to Supervise Agriculture Pilot (Aeroplane) Rating Grade 2 Pilots

Confusion within the aerial application industry concerning the correct authorisation for a supervisor of a pilot with an Agriculture Pilot (Aeroplane) Rating Grade 2 (Ag 2) increases the risk of an inappropriately qualified person supervising such a pilot.

Safety issue details
Issue number: AO-2009-070-SI-01
Who it affects: Supervisors of Ag 2 pilots
Status: Adequately addressed

Guidance for supervision of Agriculture Pilot (Aeroplane) Rating Grade 2 Pilots

The lack of guidance material for the supervision of a pilot with an Agriculture Pilot (Aeroplane) Rating Grade 2 increases the risk of inadequate supervision of such a pilot

Safety issue details
Issue number: AO-2009-070-SI-02
Who it affects: Supervisors of Ag 2 pilots
Status: Adequately addressed
General details
Date: 17 November 2009   Investigation status: Completed  
Time: 0800 WST   Investigation level: Complex - click for an explanation of investigation levels  
Location   (show map): 21 km SE of Kojonup ALA    
State: Western Australia   Occurrence type: Loss of control  
Release date: 26 November 2010   Occurrence category: Accident  
Report status: Final   Highest injury level: Fatal  

Aircraft details

Aircraft details
Aircraft manufacturer PZL Warszawa-Okecie  
Aircraft model 188  
Aircraft registration VH-ZRR  
Serial number 18802103T  
Type of operation Aerial Work  
Damage to aircraft Serious  
Departure point Crossburn Farm Strip  
Departure time 0758 WST  
Destination Crossburn Farm Strip  
 
Injuries
  Crew Passenger Ground Total
Fatal: 1 0 0 1
Total: 1 0 0 1
Last update 14 November 2018