Collision with terrain, Fairchild Metro 23, VH-TFU, 11km north-west of Lockhart River Aerodrome, Queensland, on 7 May 2005

200501977

Previously Released

Preliminary Report released 03/06/05

Interim Factual Report released 31/08/06

Summary

On 7 May 2005, a Fairchild Aircraft Inc. SA227-DC Metro 23 aircraft, registered VH-TFU, with two pilots and 13 passengers, was being operated by Transair on an instrument flight rules regular public transport service from Bamaga to Cairns, with an intermediate stop at Lockhart River, Queensland. At 1143:39 Eastern Standard Time, the aircraft impacted terrain in the Iron Range National Park on the north-western slope of South Pap, a heavily timbered ridge, approximately 11 km north-west of the Lockhart River aerodrome. At the time of the accident, the crew was conducting an area navigation global navigation satellite system (RNAV (GNSS)) non-precision approach to runway 12. The aircraft was destroyed by the impact forces and an intense, fuel-fed, post-impact fire. There were no survivors.

The accident was almost certainly the result of controlled flight into terrain, that is, an airworthy aircraft under the control of the flight crew was flown unintentionally into terrain, probably with no prior awareness by the crew of the aircraft's proximity to terrain. The investigation report identifies a range of contributing and other safety factors relating to the crew of the aircraft, Transair's processes, regulatory oversight of Transair by the Civil Aviation Safety Authority, and RNAV (GNSS) approach design and chart presentation. It also details safety action taken by various agencies to address the identified safety issues, and includes safety recommendations relating to those safety issues that had not been addressed by relevant agencies at the time of publication of this report.

Recommendations

R20070002 | R20070003 | R20070004 | R20070005 | R20070006 | R20070007 | R20070008 | R20070009 | R20070010 | R20070011 | R20060019 | R20060020 | R20060021 | R20060022 | R20060002 | R20060003 | R20060005 | R20060006

Occurrence summary

Investigation number 200501977
Occurrence date 07/05/2005
Location 11 km NW Lockhart River, Aero.
State Queensland
Report release date 04/04/2007
Report status Final
Investigation level Systemic
Investigation type Occurrence Investigation
Investigation phase Final report: Dissemination
Investigation status Completed
Mode of transport Aviation
Occurrence class Accident
Highest injury level Fatal

Aircraft details

Manufacturer Fairchild Industries Inc
Model SA227-DC
Registration VH-TFU
Serial number DC 818B
Sector Turboprop
Operation type Air Transport Low Capacity
Departure point Bamaga, QLD
Destination Lockhart River, QLD
Damage Destroyed