Aviation safety investigations & reports

Speed control during landing Bombardier DHC-8-102, VH-QQA, Cairns Airport, Qld, 30 December 2011

Investigation number:
AO-2012-005
Status: Completed
Investigation completed

Summary

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What happened

On 30 December 2011, a Bombardier DHC-8-102 aircraft, registered VH-QQA, was being operated on a scheduled passenger service to Cairns, Queensland. During the landing, the crew perceived that the aircraft decelerated much quicker than they expected given that reverse thrust and landing gear brakes had not been selected. A subsequent inspection of the aircraft found nothing to explain the perceived problem, and a review of the flight recorder data indicated that there was no abnormal operation of the engines or propellers, and that reverse thrust had not been used.

What the ATSB found

Although unrelated to the reported occurrence, subsequent inspection of the aircraft identified a design problem within the aircraft’s power lever control quadrant. The problem related to the friction device within the power levers and its interaction with the flight idle gate, which was designed to prevent the power levers from going into the ground range in flight. When the friction knob was wound to the full out (friction off) position, the flight idle gate was lifted by contact between the friction device and the flight idle gate. That action rendered the flight idle gate inoperative.

The design problem only applied to the first 39 DHC-8-100 aircraft that were manufactured; subsequent aircraft were manufactured with a modified design. The aircraft manufacturer introduced a service bulletin requirement in 1986 to retrospectively modify these 39 aircraft, but the service bulletin omitted a requirement to modify or replace a specific part, which resulted in the bulletin being ineffective.

What has been done to fix it

Once informed of the design problem, the aircraft manufacturer took prompt action to address the issue. It issued a service bulletin to modify the relevant part, and this action was subsequently mandated by Transport Canada and the Civil Aviation Safety Authority of Australia.

Safety message

This investigation highlights the importance of crews reporting occurrences and other perceived problems. Although in this case the actual event reported by the crew was not serious, and no problems relating to the aircraft or crew performance leading to the perceived event were identified, the subsequent investigation did identify a safety issue in the design of the aircraft.

Download Final Report
[Download  PDF: 2.46MB]
 
 
Alternate: [Download  DOC: 5.45MB]
 

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General details
Date: 30 December 2011   Investigation status: Completed  
Time: 0800 EST    
Location   (show map): Cairns Airport   Investigation type: Occurrence Investigation  
State: Queensland   Occurrence type: Powerplant/propulsion - Other  
Release date: 12 February 2013   Occurrence class: Technical  
Report status: Final   Occurrence category: Incident  
  Highest injury level: None  

Aircraft details

Aircraft details
Aircraft manufacturer de Havilland Canada  
Aircraft model DHC-8  
Aircraft registration VH-QQA  
Serial number 5  
Type of operation Air Transport Low Capacity  
Damage to aircraft Nil  
Departure point Normanton, QLD  
Destination Cairns, QLD  
Last update 14 November 2018