Aviation safety investigations & reports

Wheels-down water landing involving Cessna U206F floatplane, VH-UBI, Corio Bay, Vic., 22 January 2013

Investigation number:
AO-2013-020
Status: Completed
Investigation completed

Summary

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What happened

At about 1440 Eastern Daylight-saving Time on 22 January 2013, the pilot of a Cessna U206F amphibious aircraft, registered VH-UBI, was conducting a seaplane joy flight from Corio Bay, Victoria with two passengers on board. During the flight the pilot refuelled the aircraft at Barwon Heads Airport, necessitating the use of the landing wheels. On the return trip the pilot detoured for local sightseeing before heading back to Corio Bay for a water landing. On touchdown, the aircraft pitched over and came to rest inverted. The pilot assisted the two passengers to evacuate the aircraft before rescue vessels arrived. All three occupants sustained minor injuries. The aircraft was substantially damaged.

What the ATSB found

The ATSB found that the pilot was distracted during the departure from Barwon Heads and as a result did not retract the landing wheels during the after take-off checks. The investigation also determined that on returning to Corio Bay, the pilot shortened the approach due to perceived time pressure and did not complete the normal downwind and short final checks. In not completing those checks, the pilot reduced the likelihood of identifying that the landing wheels were still extended. Such events where individuals forget to carry out an action due to distractions are not uncommon and are described as skill-based lapses.

Safety message

This accident is a reminder for pilots and operators that human error can occur at any time, and highlights the importance of managing operational pressures and avoiding distractions. The need to follow procedures and complete checklists diligently is also reinforced. Effective application of threat and error, and distraction management principles can reduce risk.

The operator’s requirement for passengers to wear life jackets throughout the flight enhanced the survivability of the passengers.

 

Download Final Report
[Download  PDF: 2.87MB]
 
 
 

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General details
Date: 22 January 2013   Investigation status: Completed  
Time: 1540 EDT   Investigation level: Defined - click for an explanation of investigation levels  
Location   (show map): Corio Bay    
State: Victoria   Occurrence type: Incorrect configuration  
Release date: 04 December 2013   Occurrence class: Operational  
Report status: Final   Occurrence category: Accident  
  Highest injury level: Minor  

Aircraft details

Aircraft details
Aircraft manufacturer Cessna Aircraft Company  
Aircraft model 206  
Aircraft registration VH-UBI  
Serial number U20602051  
Type of operation Charter  
Sector Piston  
Damage to aircraft Substantial  
Departure point Barwon Heads Airport, Vic.  
Destination Corio Bay, Vic.  
Last update 14 November 2018