A flight navigation instrument event involving a Beech 1900, VH-YOA, 13 km north of Kingscote Airport, South Australia, on 19 March 2014

AO-2014-066

Final report

On 19 March 2014 during a flight test for the issue of a Civil Aviation Safety Authority (CASA) Approved Test Officer (ATO) delegation, it was noted that the Flight Director (FD) bars were not giving the correct information to the flight crew.

The Beech 1900D aircraft registered VH-YOA flown for the test flight was fitted with an EFIS 84 and a KLN 90B GPS (GPS). During a second flight to try and isolate the issue, the crew found that when the GPS rescaled in the latter part of an RNAV approach, and the flight directors were selected, there was a discrepancy between the information provided by the FD, and that by the GPS. The company then flew a similar flight in another of their Beech 1900D aircraft and found a similar discrepancy occurred.

The operator sought clarification from the aircraft flight manual supplements, however the flight manual supplements did not give clear instruction regarding the selection of the FD bars during RNAV approaches.

It was confirmed that the flight directors provided accurate guidance during instrument landing system (ILS), VHF omnidirectional range (VOR) approaches, and long range navigation (LRN).

An independent avionics engineering check on the GPS installation found that the system was correctly wired. CASA advised that although the wiring in the aircraft complied with the foreign Supplemental Type Certificate (STC) it did not comply with the original manufacturer’s instructions.

As a Safety Action, the Chief Pilot issued a Flight Crew Directive, advising that flight directors were not to be used on RNAV approaches.

In addition, as the ATSB was unable to determine the reason for the discrepancy, they forwarded a copy to the foreign authority responsible for issuing the STC.

Aviation Short Investigations Bulletin - Issue 36

Occurrence summary

Investigation number AO-2014-066
Occurrence date 26/03/2014
Location 13 km north of Kingscote Airport
State South Australia
Report release date 03/12/2014
Report status Final
Investigation level Short
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Avionics/flight instruments
Occurrence class Incident
Highest injury level None

Aircraft details

Manufacturer Beech Aircraft Corp
Model 1900D
Registration VH-YOA
Serial number UE-143
Sector Turboprop
Operation type Charter
Departure point Whyalla, SA
Destination Coober Pedy, SA
Damage Nil