Collision with terrain - VH-ZRR, 21 km south-east of Kojonup (ALA), Western Australia, on 17 November 2009

AO-2009-070

Preliminary report

Preliminary 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.

Summary

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.

Occurrence summary

Investigation number AO-2009-070
Occurrence date 17/11/2009
Location 21 km SE of Kojonup ALA
State Western Australia
Report release date 26/11/2010
Report status Final
Investigation level Systemic
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Loss of control
Occurrence class Accident
Highest injury level Fatal

Aircraft details

Manufacturer PZL Warszawa-Okecie
Model 188
Registration VH-ZRR
Serial number 18802103T
Sector Piston
Operation type Aerial Work
Departure point Crossburn Farm Strip
Destination Crossburn Farm Strip
Damage Substantial