Miscellaneous - Other involving a Fokker B.V. F28 MK 1000, VH-FKD, Ballina, New South Wales, on 7 June 1993

Summary

The captain complained of an instance where Brisbane Flight Service passed so much traffic to the aircraft during the taxiing phase and during the take-off that the crew could not monitor the mandatory traffic advisory frequency (MTAF) adequately. All the traffic was assessed by the flight crew on the basis of the planned track but an amended clearance requiring a different track was issued when the aircraft had reached 500 feet soon after take-off.

Occurrence summary

Investigation number 199302120
Occurrence date 07/06/1993
Location Ballina
State New South Wales
Report release date 26/10/1994
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Miscellaneous - Other
Occurrence class Incident

Aircraft details

Manufacturer Fokker B.V.
Model F28 MK 1000
Registration VH-FKD
Sector Jet
Operation type Air Transport High Capacity
Departure point Ballina NSW
Destination Sydney NSW
Damage Nil

Airframe event involving a Cessna 421B, VH-YRK, Walgett, New South Wales, on 20 July 1993

Summary

The pilot reported that he selected gear down when established inbound on the approach and noted three green lights. He stated that he rechecked the gear indications on short final and again confirmed three greens. After a normal touchdown was accomplished, the nosewheel was lowered onto the runway and braking was commenced. The right hand side of the aircraft dropped slightly, the aircraft veered right, and the pilot assumed that the right hand tyre had blown. The right hand gear then collapsed and the propellor hit the ground.

The gear collapse was due to mechanical failure of the bell crank fitting, which then allowed the side brace locking mechanism to become unlocked.

Occurrence summary

Investigation number 199302154
Occurrence date 20/07/1993
Location Walgett
State New South Wales
Report release date 11/01/1994
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Occurrence class Accident

Aircraft details

Manufacturer Cessna Aircraft Company
Model 421B
Registration VH-YRK
Sector Piston
Operation type Air Transport Low Capacity
Departure point Dubbo NSW
Destination Walgett NSW
Damage Substantial

Near collision involving a North American SNJ-5, VH-OVO and Cessna A150M, VH-WXS, Point Cook, Victoria, on 6 July 1993

Summary

Cessna 150, VH-WXS, was conducting dual instructional circuits on runway 17 when Harvard, VH-OVO, gave an inbound call. Cessna VH-WXS was climbing through 300 feet having done a touch-and-go when the instructor in VH-WXS heard the inbound call; he considered there was ample time for the student to continue the circuit for another touch and go prior to the arrival of VH-OVO. VH-WXS touched down near the 17 threshold. The instructor was retracting the flaps, and the student was about to apply take-off power when the Harvard passed about 50 feet overhead and touched down about 40 metres in front of VH-WXS. The instructor in VH-WXS immediately transmitted on the radio that the Cessna was on the runway and rejected the take-off. VH-OVO applied power and took off.

Neither the pilot-in-command nor the student in the Harvard saw the Cessna. The Harvard had performed a fairly steep approach whereas the Cessna had made a normal approach. The Cessna was below and in front and hidden from the Harvard pilots' view during the final approach. The Harvard was probably in such a position on the final approach that it was also hidden from the view of the Cessna pilots.

Significant Factor

The following factor was considered relevant to the development of the incident:

1. The pilots in the Harvard did not confirm the whereabouts of the Cessna before making an approach to land.

Occurrence summary

Investigation number 199302104
Occurrence date 06/07/1993
Location Point Cook
State Victoria
Report release date 26/10/1994
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 A150M
Registration VH-WXS
Sector Piston
Operation type Flying Training
Departure point Point Cook VIC
Destination Point Cook VIC
Damage Nil

Aircraft details

Manufacturer North American Aviation Inc
Model SNJ-5
Registration VH-OVO
Sector Piston
Operation type Flying Training
Departure point Essendon VIC
Destination Point Cook VIC
Damage Nil

Near collision involving a Cessna 172F, VH-SKB and Piper PA-31-350, VH-KGN, 10 km south of Moorabbin Aerodrome, Victoria, on 2 July 1993

Summary

A report was received from the pilot of VH-SKB saying a Navajo type aircraft had passed about 100 feet above the top of his aircraft, on a reciprocal track. He expressed concern that although the other aircraft was on the radar advisory frequency it had not been passed advice on his aircraft which had the transponder on code 2000. VH-SKB was on a visual flight rules flight. The other aircraft, VH-KGN, was on an instrument flight rules flight. No report was received from the pilot of VH-KGN.

The close proximity took place 10 kilometres south of Moorabbin Airport. This area is in a buffer zone, which extends from 5.5 kilometres to 14.8 kilometres, around the Moorabbin control zone. Within this airspace radar advisory service traffic information is only passed to aircraft operating under instrument flight rules, about other aircraft operating under instrument flight rules.

Significant Factors

The following factors were considered relevant to the development of the incident:

1. The pilot of VH-SKB did not see the other aircraft in time to allow for an increase in separation.

2. The aircraft were operating in an area where the radar advisory service did not give advice to aircraft operating under instrument flight rules, about aircraft operating under visual flight rules.

Occurrence summary

Investigation number 199302102
Occurrence date 02/07/1993
Location 10 km south of Moorabbin Aerodrome
State Victoria
Report release date 26/10/1994
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 172F
Registration VH-SKB
Sector Piston
Departure point Phillip Island VIC
Destination Phillip Island VIC
Damage Nil

Aircraft details

Manufacturer Piper Aircraft Corp
Model PA-31-350
Registration VH-KGN
Sector Piston
Operation type Charter
Departure point Moorabbin VIC
Destination King Island TAS
Damage Nil

Control - Other involving a Grob G-115, VH-TGZ, Parafield, South Australia, on 10 July 1993

Summary

The aircraft was being flown by a student conducting solo circuit practice. During the ground roll following the second landing the pilot lost directional control of the aircraft. The aircraft ran off the right of the runway into soft ground and turned through 90 degrees before coming to rest against a ditch. The propeller and nose gear received damage.

Occurrence summary

Investigation number 199302089
Occurrence date 10/07/1993
Location Parafield
State South Australia
Report release date 29/03/1994
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Control - Other, Runway excursion
Occurrence class Accident

Aircraft details

Manufacturer Grob - Burkhart Flugzeugbau
Model G-115
Registration VH-TGZ
Sector Piston
Operation type Flying Training
Departure point Parafield SA
Destination Parafield SA
Damage Substantial

VFR into IMC involving a Cessna 182Q, VH-CGH, Devonport, Tasmania, on 9 July 1993

Summary

A number of Instrument Flight Rules (IFR) aircraft, one at Devonport and two others inbound to Devonport, were unable to contact a Visual Flight Rules (VFR) aircraft, VH-CGH, which called seven miles inbound to Devonport. The weather was marginal with the cloud base at 600 feet. After two unsuccessful attempts to land, VH-CGH departed for Wynyard.

The pilot of VH-CGH had recently passed a biennial flight review. He had recently returned to flying after a considerable lapse. At the time of the incident, he was having trouble with selection switches on the VHF radio. He had selected audio to headphones instead of the speaker such that he could transmit but not hear any replies from other aircraft.

There was no known breakdown in separation between aircraft.

Significant Factors

The following factors were considered relevant to the development of the incident:

1. The pilot was unfamiliar with the radio selection switches installed in the aircraft.

2. The pilot operated at Devonport in non-visual meteorological weather conditions.

Occurrence summary

Investigation number 199302103
Occurrence date 09/07/1993
Location Devonport
State Tasmania
Report release date 26/10/1994
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category VFR into IMC
Occurrence class Incident

Aircraft details

Manufacturer Cessna Aircraft Company
Model 182Q
Registration VH-CGH
Sector Piston
Operation type Flying Training
Departure point Wynyard TAS
Destination Devonport TAS
Damage Nil

Airspace incursion involving a Cessna 404, VH-CSV, Corowa, New South Wales, on 7 July 1993

Summary

The aircraft climbed to Flight Level (FL) 120 without an airways clearance. A clearance had been requested by the pilot. Phraseology used by ATS was misinterpreted by the pilot as a clearance to climb to FL120.

The Flight Service Officer (FSO) coordinating the clearance for VH-CSV failed to immediately recognise that the aircraft would enter controlled airspace when climbing above 10000 feet. The FSO was recently rerated in the position and lacked recent experience. The airspace divisions marked on the FSO's map were difficult to read. Phraseology used by the FSO was misleading.

Significant Factors

The following factors were considered relevant to the development of the incident:

1. The FSO lacked recent experience.

2. The FSO's workstation map was difficult to read.

3. The FSO did not immediately realise that the aircraft would enter controlled airspace.

4. Phraseology used by the FSO was misleading to the pilot.

Occurrence summary

Investigation number 199302081
Occurrence date 07/07/1993
Location Corowa
State New South Wales
Report release date 26/10/1994
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Occurrence class Incident

Aircraft details

Manufacturer Cessna Aircraft Company
Model 404
Registration VH-CSV
Sector Piston
Operation type Charter
Departure point Wagga Wagga NSW
Destination Melbourne VIC
Damage Nil

Collision on ground involving a Cessna Aircraft Company 152, VH-RNE, Cape Capricorn, QLD on 8 July 1993

Summary

The pilot had flown the aircraft to Cape Capricorn with the intention of landing on the beach. He had been landing on the beach there for about ten years. Prior to the landing he had carried out a low level inspection of the area and satisfied himself that it was suitable. The aircraft touched down about 40m from the waterline. However, during the landing roll, when the aircraft was about 20m from the waterline, the pilot became aware that the area in front of the aircraft was covered in water. When the aircraft entered the water, which was estimated to be 50-75mm in depth, the nose leg was bent backwards and the aircraft nosed over and came to rest inverted. Neither of the occupants received any injuries. The pilot reported that local fishermen advised him that a couple of times each day a larger than normal wave causes the beach to be covered in water to a greater extent than the normal action of the waves.

Occurrence summary

Investigation number 199302077
Occurrence date 08/07/1993
State Queensland
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Occurrence class Accident

Aircraft details

Manufacturer Cessna Aircraft Company
Model 152
Registration VH-RNE
Sector Piston
Departure point Rockhampton
Destination Cape Capricorn
Damage Substantial

Animal strike involving a Cessna 182E, VH-DBT, Dale River, Western Australia, on 26 June 1993

Summary

The pilot noted the presence of sheep adjacent to the strip as he joined the circuit. When the aircraft was on final approach, the pilot did not see that the sheep had strayed onto the flight strip. Visibility was partially reduced by passing showers and the sheep were difficult to see due to their colouring being similar to that of the airstrip. The aircraft hit and killed 7 sheep.

Occurrence summary

Investigation number 199302038
Occurrence date 26/06/1993
Location Dale River
State Western Australia
Report release date 11/03/1994
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Animal strike
Occurrence class Accident

Aircraft details

Manufacturer Cessna Aircraft Company
Model 182E
Registration VH-DBT
Sector Piston
Operation type Sports Aviation
Departure point Dale River WA
Destination Dale River WA
Damage Substantial

Fuel - Other involving an Aerospatiale SA.365C-1, VH-PVA, Diggers Rest, Victoria, on 9 July 1993

Summary

Smoke and flame was observed issuing from the engine exhaust area during start up from a medivac operation. The pilot shut down, broadcast a Mayday and evacuated the patient and crew.

The subsequent investigation disclosed that one engine had not lit off properly and the pilot had not accomplished the correct blow out procedure prior to attempting another start. When the engine lit off on the next start some excess fuel had overheated and ignited. This is the normal result following an over rich start and inadequate blowout.

This occurred at night at a road accident location which was surrounded by lights and flashing beacons, which caused ground based personnel to conclude that the helicopter was on fire.

Examination of the helicopter showed that no damage had occurred.

Significant factors

The following factors were considered relevant to the development of the incident.

1. The pilot failed to carry out the correct blow out procedure after one engine failed to start.

2. During the subsequent start attempt residual fuel ignited generating smoke and flame.

Occurrence summary

Investigation number 199302044
Occurrence date 09/07/1993
Location Diggers Rest
State Victoria
Report release date 13/10/1993
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Fuel - Other
Occurrence class Incident

Aircraft details

Manufacturer Aerospatiale Industries
Model SA.365C-1
Registration VH-PVA
Sector Helicopter
Operation type Medical Transport
Departure point Diggers Rest VIC
Destination Melbourne VIC
Damage Nil