Aviation Short Investigation Bulletin - Issue 23

The Aviation Short Investigation Bulletin covers a range of the ATSB’s short investigations and highlights valuable safety lessons for pilots, operators and safety managers.

Released periodically, the Bulletin provides a summary of the less-complex factual investigation reports conducted by the ATSB. The results, based on information supplied by organisations or individuals involved in the occurrence, detail the facts behind the event, as well as any safety actions undertaken. The Bulletin also highlights important Safety Messages for the broader aviation community, drawing on earlier ATSB investigations and research.

Issue 23 of the Bulletin features 13 safety investigations:

Jet aircraft

• Abnormal engine indications involving a Boeing 747-438, VH-OJS
• Weather related event involving a Boeing 737, VH-YFF
• Departure from an incorrect intersection involving an Embraer ERJ 190, VH-ZPC
• Two turbulence events involving a Boeing 737, VH-VZY and a Bombardier DHC-8-402, VH-QOP
• Loss of separation between an Airbus A320, VH-VFJ and a Bell 412, VH-VAO

Turboprop aircraft

• TCAS event between an ATR72, VH-FVH and a Bombardier DHC-8-315, VH-TQZ
• Turbulence encounter involving a Bombardier DHC-8-402, VH-QOD

Piston aircraft

• Wheels up landing involving a Cessna 210, VH-ZMT
• Collision on the ground involving a Cessna 172R, VH-IMS

Helicopters

• Power loss involving a Robinson R44, VH-ZON
• Total power loss involving a Bell 47G2A, VH-KHJ
• Hard landing involving a Bell 206B, VH-EPQ
• Loss of control involving a Robinson R22, VH-EGN