In-flight break-up - Clonbinane, Victoria, on 31 July 2007, VH-YJB, Rockwell Commander 500S

AO-2007-029

Preliminary report

Preliminary report released 12 October 2007

On 31 July 2007, a Rockwell Commander 500S, with a pilot and passenger on board, was making a night, instrument flight rules, business flight from Essendon Airport, Vic. to Shepparton. While cruising at 7,000 ft and approximately 25 NM (46 km) north-north-east of Essendon, the aircraft disappeared from radar. Attempts by the controller to contact the pilot were unsuccessful. Later that night the aircraft wreckage was found in timbered ranges near the last radar position. There were no survivors.

Wreckage was distributed over a considerable area and the outer wing sections and the tail had separated in flight. Subsequent wreckage reconstruction and examination of the fracture surfaces found no evidence of contributory fatigue cracking, pre-existing defects or structural corrosion.

At the time of the occurrence there was a north to north-westerly wind of 40 kts or greater in the area. The Bureau of Meteorology had issued two concurrent SIGMET warnings for the period of the flight. The first warned of severe mechanical turbulence over and south of the ranges, and the second warned of occasional severe mountain wave turbulence.

The Preliminary report contains factual information that has been obtained for the investigation to date and describes the focus of further investigations.

Summary

On 31 July 2007, a Rockwell International Aero Commander 500-S, registered VH-YJB, departed Essendon Airport, Vic. on a business flight to Shepparton that was conducted at night under the instrument flight rules (IFR). On board were the pilot and one passenger. At 1958 Eastern Standard Time, while in the cruise at 7,000 ft above mean sea level in Class C controlled airspace, radar and radio contact with the aircraft was lost when it was about 25 NM (46 km) north-northeast of Essendon.

The wreckage was found in the area of the last radar position and both occupants had been fatally injured. At the time, special weather reports for severe turbulence and severe mountain waves were current for that area. Wind speeds on the ground were reported to be 50 kts. Calculations made using the recorded radar data and forecast wind showed that the aircraft had been in cruise flight at speeds probably greater than its published manoeuvring speed, prior to disappearing from radar.

The wreckage and its distribution pattern were consistent with an in-flight breakup during cruise flight. The breakup most likely resulted from an encounter with localised and intense turbulence, or from an elevator control input, or from a combination of both. As a result of its investigation, the Australian Transport Safety Bureau reissued the publication Mountain Wave Turbulence (available for download at www.atsb.gov.au), distributed the investigation report to all Australian operators of the Aero Commander aircraft, and issued a safety advisory notice to aircraft operators and pilots. That notice encouraged aircraft operators to review their procedures to ensure an appropriate awareness amongst operating personnel of the implications for aircraft performance of the combination of aircraft weights and speed, and of the ambient conditions; in particular, when flying in, or near areas of forecast severe turbulence.

Occurrence summary

Investigation number AO-2007-029
Occurrence date 31/07/2007
Location 37 km NNE Melbourne
State Victoria
Report release date 09/11/2009
Report status Final
Investigation level Systemic
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category In-flight break-up
Occurrence class Accident
Highest injury level Fatal

Aircraft details

Manufacturer Rockwell International
Model 500
Registration VH-YJB
Serial number 3299
Sector Piston
Operation type Business
Departure point Essendon, Vic
Destination Shepparton, Vic
Damage Destroyed