Operational non-compliance involving a Piper PA-31-350, VH-ATP, 15 km north-west of Sydney, New South Wales, on 2 February 1993

Summary

The aircraft was issued with an airways clearance to climb straight ahead from runway 34 and maintain 3000 feet. The pilot called airborne and reported on climb to 3000 feet. There was no Secondary Surveillance Radar (SSR) altitude readout evident. The pilot was then cleared to climb to 4000 feet but still no SSR readout was displayed. At approximately 10 nautical miles north of the airport the height readout appeared, indicating 4400 feet. When the pilot was queried he reported on descent to 4000 feet.

The pilot later reported that he had set 4000 feet on the assigned altitude indicator and subsequently noticed that he had inadvertently climbed to 4200 feet.

The pilot also reported that he had noticed the encoding altimeter on the co-pilot panel had not been set to QNH and was indicating 200 feet higher than the pilot's altimeter.

Occurrence summary

Investigation number 199300317
Occurrence date 02/02/1993
Location 15 km north-west of Sydney
State New South Wales
Report release date 30/08/1993
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Operational non-compliance
Occurrence class Incident

Aircraft details

Manufacturer Piper Aircraft Corp
Model PA-31-350
Registration VH-ATP
Sector Piston
Operation type Air Transport Low Capacity
Departure point Sydney NSW
Destination Coonabarabran NSW
Damage Nil

Operational non-compliance involving a Piper PA-31-350, VH-WAD, 25 km north of Sydney, New South Wales, on 26 February 1993

Summary

The aircraft was issued with a take-off clearance, with a requirement to maintain 3000 feet. On departure, the pilot reported on climb to 3000 feet. The aircraft was then observed on radar to be approaching 3800 feet. When queried, the pilot confirmed his altitude was 3800 feet. The aircraft was then cleared to maintain 4000 feet to ensure separation with crossing traffic arriving at Sydney. The pilot later stated that he understood his initial clearance limit to be 4000 feet.

Occurrence summary

Investigation number 199300313
Occurrence date 26/02/1993
Location 25 km north of Sydney
State New South Wales
Report release date 29/07/1993
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Operational non-compliance
Occurrence class Incident

Aircraft details

Manufacturer Piper Aircraft Corp
Model PA-31-350
Registration VH-WAD
Sector Piston
Operation type Air Transport Low Capacity
Departure point Sydney NSW
Destination Maitland NSW
Damage Nil

Collision with terrain involving a Let Blanik L13, VH-GVS, 0.5 km north of Tocumwal, New South Wales, on 1 March 1993

Summary

The pilot, who was relatively inexperienced, had a series of dual check flights prior to going solo. On his second solo flight he allowed the glider to drift too far downwind and on returning was committed to landing short of the airfield. During the landing the glider was substantially damaged when it ran through a drainage ditch.

Significant Factors

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

1. The pilot had limited flying experience.

2. The pilot misjudged his distance from the runway while on downwind.

3. Landing on unsuitable terrain.

Occurrence summary

Investigation number 199300311
Occurrence date 01/03/1993
Location 0.5 km north of Tocumwal
State New South Wales
Report release date 22/07/1993
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Collision with terrain
Occurrence class Accident

Aircraft details

Manufacturer Let National Corporation
Model Blanik L13
Registration VH-GVS
Sector Other
Operation type Flying Training
Departure point Tocumwal NSW
Destination Tocumwal NSW
Damage Substantial

Forced/precautionary landing involving a Cessna 182C, VH-BXW, Tully, Queensland, on 20 February 1993

Summary

At about 400 feet on climb after take-off the engine began to run roughly and lose power. The pilot was forced to attempt a landing in a cane field. During the landing one wing struck the cane and the aircraft nosed over coming to rest inverted.

Inspection of the aircraft found that the internal timing of the magneto was incorrect and that the magneto was also in a poor state of repair. In addition, the spark plugs were of different types and in varying condition. It was the opinion of the maintenance engineers who inspected the ignition system that the loss of power was a result of the overall condition of the system.

Occurrence summary

Investigation number 199300307
Occurrence date 20/02/1993
Location Tully
State Queensland
Report release date 19/10/1993
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Collision with terrain, Engine failure or malfunction, Forced/precautionary landing, Loss of control
Occurrence class Accident
Highest injury level Minor

Aircraft details

Manufacturer Cessna Aircraft Company
Model 182C
Registration VH-BXW
Sector Piston
Operation type Sports Aviation
Departure point Tully QLD
Destination Tully QLD
Damage Substantial

Forced/precautionary landing involving a Bell 47G-3B1, VH-JWI, 7.5 km north-east of Woolner Station, Northern Territory, on 20 February 1993

Summary

The helicopter was hovering about 30 feet over a swamp when the pilot heard a noise and the helicopter began to vibrate. The pilot flew the helicopter towards dry land, but it began to rotate around the main rotor mast. A tail rotor failure procedure was carried out and the machine landed in the water.

The helicopter suffered damage to the tail boom, drive shaft, uprights and cross tubes.

Subsequent examination revealed that the tail rotor extension shaft drive pin had failed at the tail rotor gearbox.

Occurrence summary

Investigation number 199300308
Occurrence date 20/02/1993
Location 7.5 km north-east of Woolner Station
State Northern Territory
Report release date 11/03/1994
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Forced/precautionary landing, Transmission and gearbox
Occurrence class Accident

Aircraft details

Manufacturer Bell Helicopter Co
Model 47G-3B1
Registration VH-JWI
Sector Helicopter
Operation type Aerial Work
Departure point Woolner Station NT
Destination Woolner Station NT
Damage Substantial

Collision on ground involving a Cessna 182P, VH-MST, Cattle Creek, Western Australia, on 2 March 1993

Summary

The pilot landed on the landing strip. He was aware that the landing strip was wet, covered with grass and probably soft under the surface. The aircraft felt sluggish during the landing roll. Before attempting to take-off, the pilot walked along the length of the strip to inspect its condition. He assessed the strip as suitable for his operation. There was a slight across-strip slope and during the back-track taxi for take-off, the pilot moved to the up-slope, left side of the strip where the surface appeared firmer. Whilst watching out the right side of the aircraft at the take-off path, the left wing hit a small tree. He did not see the tree prior to the impact.

Occurrence summary

Investigation number 199300303
Occurrence date 02/03/1993
Location Cattle Creek
State Western Australia
Report release date 26/05/1994
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Ground strike
Occurrence class Accident

Aircraft details

Manufacturer Cessna Aircraft Company
Model 182P
Registration VH-MST
Sector Piston
Operation type Business
Departure point Cattle Creek
Destination Turkey Creek
Damage Substantial

Collision with terrain involving a PZL - Bielsko SZD-41-A Jantar Standard, VH-KYX, 10 km north of Berrigan, New South Wales, on 26 February 1993

Summary

The pilot was attempting a 50 kilometre flight. En route the glider was getting low and the pilot realised he had to do an outlanding. On late final approach an area of smoke was flown through. As this cleared the pilot suddenly saw four trees in front of him. He tried to roll the wings to go between two of them. A wing struck branches, and the glider then descended and struck the ground.

Occurrence summary

Investigation number 199300306
Occurrence date 26/02/1993
Location 10 km north of Berrigan
State New South Wales
Report release date 10/06/1993
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Collision with terrain
Occurrence class Accident
Highest injury level Serious

Aircraft details

Manufacturer PZL - Bielsko
Model SZD-41-A Jantar Standard
Registration VH-KYX
Sector Other
Operation type Private
Departure point Tocumwal NSW
Destination Tocumwal NSW
Damage Substantial

Rejected take-off involving an Airbus A320-211, VH-HYD, Melbourne, Victoria, on 24 February 1993

Summary

The aircraft experienced a sudden uncommanded left yaw 10-15 knots below the V1 speed of 130 knots. The crew controlled the aircraft and rejected the take-off. The flight attendants seated in the rear of the aircraft confirmed the yaw was very abrupt. The FDR while recording the event did not disclose any information as to the origin of the signal that commanded the input that initiated the yaw. However, the FDR did disclose that the yaw was not a result of flight control input, therefore it is suspected that brake or nose wheel steering inputs may have been responsible. Parameters for these systems are not recorded on the DFDR. The company has introduced a strongly worded briefing to passengers about the dangers of operating electronic equipment during critical stages of flight although there was no evidence that this was the cause of this incident.

Occurrence summary

Investigation number 199300265
Occurrence date 24/02/1993
Location Melbourne
State Victoria
Report release date 26/05/1993
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Rejected take-off
Occurrence class Incident

Aircraft details

Manufacturer Airbus
Model A320-211
Registration VH-HYD
Sector Jet
Operation type Air Transport High Capacity
Departure point Melbourne VIC
Damage Nil

Wheels up landing involving an Amateur Built F8L, VH-LZF, Toowoomba, Queensland, on 3 March 1993

Summary

The pilot was carrying out a test flight in the aircraft. At the completion of the flight the aircraft was landed unintentionally with the landing gear retracted.

Inspection of the wreckage found that the landing gear and associated position indication system was operating correctly. However, the landing gear warning horn was in the "override" position, apparently having been placed in that position during the test flight.

Occurrence summary

Investigation number 199300302
Occurrence date 03/03/1993
Location Toowoomba
State Queensland
Report release date 26/08/1994
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 Amateur Built Aircraft
Model F8L
Registration VH-LZF
Serial number Q52
Sector Piston
Operation type General Aviation
Departure point Toowoomba
Destination Toowoomba
Damage Substantial

Operational non-compliance involving a Cessna 425, VH-ULX, Taroom, Queensland, on 12 February 1993

Summary

The pilot reported 17 minutes earlier than his original estimate at Taroom. No confliction.

Occurrence summary

Investigation number 199300280
Occurrence date 12/02/1993
Location Taroom
State Queensland
Report release date 15/10/1993
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Operational non-compliance
Occurrence class Incident

Aircraft details

Manufacturer Cessna Aircraft Company
Model 425
Registration VH-ULX
Sector Turboprop
Operation type Charter
Departure point Mt Isa QLD
Destination Archerfield QLD
Damage Nil