Loading related involving a Boeing 727-277, VH-RMX, Enroute Melbourne to Perth, Victoria, on 22 December 1993

Summary

The captain reported that at flight planned optimum cruise altitude the aircraft failed to meet expected cruise performance. When the aircraft arrived at Perth a re-weigh of the payload was requested. The re-weigh showed that the payload was approximately 3500 kg more than was indicated on the loading documentation. This meant that the aircraft had been operated at weights in excess of its maximum zero fuel weight and maximum brakes release weight.

The investigation revealed that four unrelated factors had contributed to the overloading of the aircraft.

  • The first involved accepting freight from another air freight company on the basis of the weights provided by that company and not re-weighing the freight to check the weights.
  • The second involved weighing freight on scales with which the airfreight personnel were not familiar and not properly positioning the freight trolleys on the scales.
  • The third involved a communication breakdown between loading personnel which resulted in freight being loaded on the aircraft that was not included in the loading documentation.
  • The final factor was minor in nature and involved last minute removal and addition of freight from/into containers without accurate adjustments being made to the loading documentation. The company has addressed these problems and taken corrective action to prevent a recurrence.

Occurrence summary

Investigation number 199304273
Occurrence date 22/12/1993
Location Enroute Melbourne to Perth
State Victoria
Report release date 14/06/1994
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Loading related
Occurrence class Incident

Aircraft details

Manufacturer The Boeing Company
Model 727-277
Registration VH-RMX
Sector Jet
Operation type Air Transport High Capacity
Departure point Melbourne VIC
Destination Perth WA
Damage Nil

Fuel contamination involving a Robinson R22 HP, VH-JWV, Mataranka No 1 Bore, Northern Territory, on 27 December 1993

Summary

The helicopter was being used to evacuate a workman from an outstation due to flooding in the area. The pilot, concerned about the deteriorating weather conditions, decided to add another 10 litres of fuel from a drum located at the outstation. The pilot reported that he checked the fuel tank drain finding no indication of water or contamination.

About 30 seconds after take-off the engine began to misfire badly and lose power, committing the pilot to a near vertical autorotational landing into a small hole in the relatively high timber. The autorotation was commenced from about 150 feet above ground level at about 30 knots airspeed, with a turn of 90 degrees required to reach the small clearing. The pilot was unable to reduce the subsequent high rate of descent even though full up collective pitch was applied from about 8 feet above the ground.

This resulted in a heavy landing causing substantial damage to the helicopter. Investigation revealed that the aircraft fuel system was contaminated with water.

Occurrence summary

Investigation number 199304289
Occurrence date 27/12/1993
Location Mataranka No 1 Bore
State Northern Territory
Report release date 14/06/1994
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Fuel contamination, Hard landing
Occurrence class Accident
Highest injury level Minor

Aircraft details

Manufacturer Robinson Helicopter Co
Model R22 HP
Registration VH-JWV
Sector Helicopter
Departure point No 1 Bore - Larrimah NT
Destination Bloodwood NT
Damage Substantial

Wheels up landing involving a Cessna 402B, VH-TWX, Jabiru, Northern Territory, on 27 December 1993

Summary

On arrival in the circuit area at Cooinda the pilot selected the landing gear down but no 'down' indication was obtained for the left main gear. After several unsuccessful attempts to obtain a left gear down indication, the pilot decided to return to Jabiru where company ground staff were available.

He contacted Adelaide Flight Service with a request to telephone his company but did not advise of any problems with the aircraft. At Jabiru several normal and emergency extensions of the landing gear were carried out, each time with the same unsafe indication. Several passes were flown to enable ground staff to confirm the position of the landing gear, which appeared to be down.

A normal approach and landing was made but as the aircraft touched down the left landing gear leg collapsed. The pilot was able to hold the wing up for a short time, but as the aircraft slowed the left wing settled onto the runway, turning the aircraft through 180 degrees. Because the pilot had not advised Adelaide Flight Service of the problem the aerodrome emergency procedures were not activated.

Subsequent investigation revealed that the left hand extension/retraction mechanism torque tube rod attachment had failed due to fatigue.

Occurrence summary

Investigation number 199304234
Occurrence date 27/12/1993
Location Jabiru
State Northern Territory
Report release date 19/06/1994
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Wheels up landing
Occurrence class Accident

Aircraft details

Manufacturer Cessna Aircraft Company
Model 402B
Registration VH-TWX
Sector Piston
Departure point Darwin NT
Destination Cooinda NT
Damage Substantial

Loss of separation involving a Boeing 737-476, VH-TJM and Piper PA-32R-301, VH-LTC, 48 km south-west of Alice Springs, Northern Territory on 28 December 1993

Summary

VH-TJM departed Ayers Rock for Alice Springs and VH-LTC departed Alice Springs for Ayers Rock. To ensure separation the Alice Springs air traffic controller assigned a cruising altitude of 5000 feet to VH-LTC and cleared VH-TJM to descend to 7000 ft. He estimated that the aircraft would pass about 40km from Alice Springs and VH-LTC was instructed to report sighting and passing VH-TJM.

Subsequently, at 48km from Alice Springs, VH-TJM was cleared for a visual descent. The air traffic control workload was heavy at the time, but shortly afterwards the controller realised he had not applied a separation standard before allowing VH-TJM to commence the visual descent. He contacted both aircraft for position reports which revealed that they had passed safely and were about 20km apart. Fortuitously there was no confliction.

Occurrence summary

Investigation number 199304239
Occurrence date 28/12/1993
Location 48 km south-west of Alice Springs
State Northern Territory
Report release date 19/06/1994
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Loss of separation
Occurrence class Incident

Aircraft details

Manufacturer Piper Aircraft Corp
Model PA-32R-301
Registration VH-LTC
Sector Piston
Departure point Alice Springs NT
Destination Ayers Rock NT
Damage Nil

Aircraft details

Manufacturer The Boeing Company
Model 737-476
Registration VH-TJM
Sector Jet
Operation type Air Transport High Capacity
Departure point Ayers Rock NT
Destination Alice Springs NT
Damage Nil

Ground strike involving a Schempp-Hirth Flugzeugbau GmbH Nimbus 2, VH-GOG, Massie Field, Warwick, Queensland, on 30 December 1993

Summary

The pilot had not flown the aircraft type (a single seat machine) previously and was checked by the owner prior to commencing the flight. The glider was to be launched by being towed behind a powered aircraft. The pilot reported that the ground run was normal but after the glider became airborne it immediately climbed above the slipstream of the tug aircraft. The glider then descended below the slipstream and the pilot applied back stick to climb but the tail struck the ground.

The tail section broke off and the glider climbed before nosing down and impacting the ground. It rolled over after impact and the pilot sustained serious back injuries. The glider was a relatively high-performance type and is reported to be susceptible to pilot induced oscillations, particularly after take-off. The pilot had begun flying again in 1993 after a 10-year break.

Since recommencing flying, she had accumulated some 30 hours, of which only 2.5 were on single seat fibreglass types. The gliding club chief flying instructor was of the opinion that the pilot should have spent more time in other single seat gliders before attempting to fly this particular type.

Occurrence summary

Investigation number 199304229
Occurrence date 30/12/1993
Location Massie Field, Warwick
State Queensland
Report release date 05/09/1994
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Ground strike
Occurrence class Accident
Highest injury level Serious

Aircraft details

Manufacturer Schempp-Hirth Flugzeugbau GmbH
Model Nimbus 2
Registration VH-GOG
Sector Other
Departure point Massie Field, Warwick Qld
Destination Massie Field, Warwick Qld
Damage Destroyed

Incorrect configuration involving a Piper PA-31, VH-BEB, Bankstown, New South Wales, on 24 December 1993

Summary

After completing a sequence of touch and go circuits the aircraft returned to the parking area. The pilot was performing a pre-shutdown hydraulic pressure check when he inadvertently selected the landing gear to the UP position and the nose gear retracted. Investigation determined that the landing gear selector ground safety lock was out of rig and allowed the selector to move to the UP position whilst the aircraft was on the ground.

Occurrence summary

Investigation number 199304219
Occurrence date 24/12/1993
Location Bankstown
State New South Wales
Report release date 13/09/1994
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Incorrect configuration
Occurrence class Accident

Aircraft details

Manufacturer Piper Aircraft Corp
Model PA-31
Registration VH-BEB
Sector Piston
Departure point Bankstown NSW
Destination Bankstown NSW
Damage Substantial

Near collision involving a Cessna 172N, VH-JNY and Cessna 310J, VH-DKY, Mareeba, Queensland, on 21 December 1993

Summary

The pilot of the Cessna 172 reported that after joining the circuit on crosswind for runway 10 he observed a Cessna 310 stationary on the taxiway at the eastern end. Shortly after he turned onto final approach, the Cessna 310 became airborne and conflicted with the Cessna 172. The pilot of the Cessna 172 took evasive action and estimated that the aircraft had passed within about 100 to 200 m.

He indicated that he had made all appropriate radio broadcasts, including when joining crosswind and on base leg. However, he had not heard a response from the pilot of the Cessna 310. The pilot of the Cessna 310 said he had departed on runway 28 because of equipment located off the end of runway 10 and had not heard any broadcasts from the other aircraft.

Occurrence summary

Investigation number 199304205
Occurrence date 21/12/1993
Location Mareeba
State Queensland
Report release date 29/04/1996
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Near collision
Occurrence class Incident

Aircraft details

Manufacturer Cessna Aircraft Company
Model 172N
Registration VH-JNY
Sector Piston
Departure point Mareeba QLD
Destination Mareeba QLD
Damage Nil

Aircraft details

Manufacturer Cessna Aircraft Company
Model 310J
Registration VH-DKY
Sector Piston
Departure point Mareeba QLD
Damage Nil

VFR into IMC involving an Air Tractor Inc AT-502, VH-AMH, 4 km north-west of Wee Waa, New South Wales, on 23 December 1993

Summary

The aircraft departed the base airstrip to fly to the treatment area but did not arrive. The pilot and wreckage were located after first light by search aircraft. The aircraft had collided with trees and crashed into an empty paddock. The pilot has not provided a report. However, information provided by other sources suggests that he inadvertently entered low cloud and during an attempt to turn back collided with the trees.

Occurrence summary

Investigation number 199304203
Occurrence date 23/12/1993
Location 4 km north-west of Wee Waa
State New South Wales
Report release date 04/07/1995
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category VFR into IMC
Occurrence class Accident
Highest injury level Serious

Aircraft details

Manufacturer Air Tractor Inc
Model AT-502
Registration VH-AMH
Sector Turboprop
Operation type Aerial Work
Departure point Glencoe Property NSW
Destination Glencoe Property NSW
Damage Destroyed

Forced/precautionary landing involving an Air Tractor AT-301, VH-HKC, Padthaway, South Australia, on 21 December 1993

Summary

Shortly after take-off for the third aerial agriculture flight of the day, the pilot reported that the engine began to lose power. The pilot dumped the load, then after several unsuccessful attempts to regain power, landed the aircraft in a paddock. During the landing roll, soft ground was encountered and the aircraft overturned. The engine was later run on a testbed, but no faults were found. The weather at the time of the accident was humid, with a temperature of 23-25 degrees Celsius, which may have contributed to carburettor icing.

Occurrence summary

Investigation number 199304200
Occurrence date 21/12/1993
Location Padthaway
State South Australia
Report release date 14/06/1994
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Engine failure or malfunction, Forced/precautionary landing
Occurrence class Accident

Aircraft details

Manufacturer Air Tractor Inc
Model AT-301
Registration VH-HKC
Sector Piston
Operation type Aerial Work
Departure point Padthaway SA
Destination Padthaway SA
Damage Substantial

Wirestrike involving an Ayres S2R-R1820, VH-NZB, Warren, New South Wales, on 2 December 1993

Summary

The pilot was spraying a cotton crop with insecticide. Although he had not sprayed the field for about 12 months, he remembered a power line traversing it but could not remember if he had flown over or under the wire previously. On this occasion he elected to fly under it, however, as the aircraft passed under the wire it snagged the rudder. The pilot reported that the aircraft remained controllable, but the rudder was jammed to the right. He slowed the aircraft to 70 knots to reduce the effectiveness of the rudder but was unable to reduce the extreme right yaw.

He decided to return to the town airstrip where better facilities were available and advised the police of his problem by radio. He was subsequently able to land the aircraft without further incident. Inspection later revealed that the rudder horn had been severely damaged, jamming the rudder. The power line was reported to be 3 metres above ground level where the strike occurred.

Occurrence summary

Investigation number 199304199
Occurrence date 02/12/1993
Location Warren
State New South Wales
Report release date 24/08/1994
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Wirestrike
Occurrence class Accident

Aircraft details

Manufacturer Ayres Corporation
Model S2R-R1820
Registration VH-NZB
Sector Turboprop
Operation type Aerial Work
Departure point Warren NSW
Destination Warren NSW
Damage Substantial