Aviation safety investigations & reports

Loss of control and collision with terrain involving Cessna 182 VH-AUT, Hamilton Airport, VIC on 23 September 2013

Investigation number:
AO-2013-163
Status: Completed
Investigation completed

Summary

Download Final report
[Download  PDF: 1.54MB]
 

What happened

In the early evening of 23 September 2013, the student pilot of a Cessna Aircraft Company 182R aircraft, registered VH‑AUT, was conducting solo night circuit consolidation training at Hamilton Airport, Victoria. On the fourth circuit the pilot made a radio call indicating he was aborting the landing. Witnesses observed the aircraft climb, then turn to the right and descend, followed by a collision with terrain. The aircraft was destroyed by the impact and post‑impact fire and the pilot was fatally injured.

What the ATSB found

The ATSB found that following an aborted landing during circuit training in dark night conditions, the solo student pilot lost control of the aircraft, resulting in a collision with terrain. There was insufficient evidence to determine the reason for the loss of control.

The student pilot’s post-mortem examination identified a cardiac condition capable of causing incapacitation and their medical history included another condition that, if having effect at the time, had the potential to have contributed to the development of the accident. The Civil Aviation Safety Authority (CASA) was unaware of either condition.

In addition, the aircraft’s flaps were found to have been in the fully-extended position at impact, which was not consistent with either the operator’s or manufacturer’s procedures for a go-around. The ATSB was unable to determine when the flaps were extended and to what extent the misconfiguration influenced the accident.

Safety message

This accident highlights the importance of the shared responsibility by holders of aviation medical certificates, examining physicians and CASA to report, assess and manage medical and other conditions as they might affect the issue/renewal of those certificates. A full understanding by CASA of an aviation medical certificate applicant’s current and prior medical conditions, and use of medications, informs the consideration and development of appropriate risk controls to ensure continued safe flight. This can include the applicant continuing in, or recommencing their participation in the industry.

Download Final report
[Download  PDF: 1.54MB]
 
 
 

Photos

To download, click the link, then right-click and select Save As.

Copyright in material obtained from other agencies, private individuals or organisations, belongs to those agencies, individuals or organisations and should be credited accordingly.

General details
Date: 23 September 2013   Investigation status: Completed  
Time: 1945 EST   Investigation level: Complex - click for an explanation of investigation levels  
Location   (show map): near Hamilton Airport    
State: Victoria   Occurrence type: Collision with terrain  
Release date: 07 May 2015   Occurrence category: Accident  
Report status: Final   Highest injury level: Fatal  

Aircraft details

Aircraft details
Aircraft manufacturer Cessna Aircraft Company  
Aircraft model 182R  
Aircraft registration VH-AUT  
Serial number 18268111  
Type of operation Flying Training  
Sector Piston  
Damage to aircraft Destroyed  
Departure point Hamilton Airport, VIC  
Destination Hamilton Airport, VIC  
Last update 14 November 2018