Loss of separation involving an Airbus A340, B-HXI and McDonnell Douglas F/A-18A, 139 km north of Sydney, New South Wales, on 5 March 2001

Summary

The crew of the Airbus Industrie A340 responded to a traffic alert and collision avoidance system (TCAS) resolution advisory (RA) and climbed 600 ft above the cleared level of flight level (FL)190. The conflicting traffic was a formation of military McDonnell Douglas Corporation FA-18A Hornet aircraft in transit through a military airspace corridor. Traffic information was passed to the crew of the A340 by the air traffic controller. The Hornet crews were on military control frequencies. At the time of the TCAS alert, the Hornets had climbed to FL180 from FL170 to transit civil airspace via a military airspace corridor 75km north of Sydney, known as the Hunter Corridor. Civil radar data indicated that the Hornets climbed to FL183 and military radar data indicated a climb to FL182. The crews stated that they were positive that they had levelled at FL180, and that they had the A340 in sight. Analysis of the radar data indicated that, at the time of the resolution advisory, the standard vertical separation had reduced to less than 1000ft resulting in an infringement of separation standards.

Occurrence summary

Investigation number 200100959
Occurrence date 05/03/2001
Location 139 km north of Sydney
State New South Wales
Report release date 25/09/2001
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 Airbus
Model A340
Registration B-HXI
Sector Jet
Operation type Air Transport High Capacity
Departure point Hong Kong
Destination Sydney NSW
Damage Nil

Aircraft details

Manufacturer McDonnell Douglas Corp.
Model F/A-18A
Registration Unknown
Sector Jet
Operation type Military
Departure point Williamtown NSW
Destination Williamtown NSW
Damage Nil

Flight crew incapacitation involving a Cessna 210R, VH-MOK, 111 km north of Bourke, New South Wales, on 22 January 2001

Summary

The pilot-in-command of the Cessna 210 suffered a seizure which rendered him unconscious. He was subsequently unable to safely control the aircraft. The geoscience operator, who was also a rated pilot and was sitting in the right seat of the aircraft, took control of the aircraft and diverted to and landed safely at Bourke. The geoscience operator had to continually prevent the pilot-in-command's body from inadvertently fouling the flight controls during the return flight to Bourke. After the aircraft landed, the pilot regained consciousness and underwent medical treatment. Later the same day the pilot suffered another seizure and was hospitalised for a short period.

Occurrence summary

Investigation number 200100421
Occurrence date 22/01/2001
Location 111 km north of Bourke
State New South Wales
Report release date 02/05/2001
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Flight crew incapacitation
Occurrence class Incident

Aircraft details

Manufacturer Cessna Aircraft Company
Model 210R
Registration VH-MOK
Sector Piston
Departure point Bourke NSW
Destination Bourke NSW
Damage Nil

Unsecured door involving Boeing 767-300ER, VH-NOA, Amsterdam Schiphol, on 26 August 2000

Summary

The investigation by The Netherlands authorities is continuing. The ATSB has completed its contribution to the investigation and plans to publish a copy of the final report on the ATSB website www.atsb.gov.au when it is received from The Netherlands.

Occurrence summary

Investigation number 200004072
Occurrence date 26/08/2000
Location Amsterdam Schiphol
State International
Report release date 19/09/2001
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Occurrence class Incident

Aircraft details

Manufacturer The Boeing Company
Model 767-300ER
Registration VH-NOA
Sector Jet
Departure point Nairobi, Kenya
Destination Amsterdam, Netherlands
Damage Minor

Airframe event involving a Boeing 747-338, VH-EBW, Rome (Fiumicino), on 21 April 2000

Summary

The investigation by the Italian authorities is continuing. The ATSB has completed its contribution to the Italian investigation and plans to publish a copy of the final report on the ATSB website www.atsb.gov.au when it is received from the Italian authorities.

Occurrence summary

Investigation number 200001370
Occurrence date 21/04/2000
Location Rome (Fiumicino)
State International
Report release date 05/12/2001
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Occurrence class Accident

Aircraft details

Manufacturer The Boeing Company
Model 747-338
Registration VH-EBW
Sector Jet
Departure point Rome Italy
Destination Bangkok Thailand
Damage Substantial

Wirestrike involving a Agusta, S.p.A, Construzioni Aeronautiche 47G-3B-1, VH-AUU, 13 km north of Casino, New South Wales, on 16 March 2000

Summary

After the interim completion of agricultural spraying operations, the property owner asked the pilot to disperse one load of insecticide over a neighbour's property. The adjacent property owner had requested this work to be done. As the pilot hover-taxied an Agusta-Bell 47G-3B1 helicopter towards a water replenishing point on the neighbour's property, the cockpit bubble and one main rotor blade of the helicopter struck an unseen single strand high-tension power line partially concealed by a shed. The pilot was able to maintain control of the helicopter and landed safely. The helicopter sustained minor wire impact damage to one main rotor blade, the main rotor mast, and one tail rotor blade. The pilot and passenger escaped without injury. The water tanks were near a shed which partially concealed the wire which was at an angle of about 45 degrees to a height of 60 to 70 feet AGL. The wire also blended into the background foliage. The pilot had visited this section of the neighbour's property about 2 years ago. No wires were noted during this visit. The owner of the adjacent property had not briefed his neighbour to inform the pilot about a new wire that had been erected near the water tanks. Consequently, the pilot had not been adequately briefed by the other property owner as to the presence and location of the recently erected wire which was in close proximity to the water tanks.

Occurrence summary

Investigation number 200000924
Occurrence date 16/03/2000
Location 13 km north of Casino
State New South Wales
Report release date 27/03/2000
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Wirestrike
Occurrence class Accident

Aircraft details

Manufacturer Agusta, S.p.A, Construzioni Aeronautiche
Model 47G-3B-1
Registration VH-AUU
Sector Helicopter
Departure point Casino NSW
Destination Casino NSW
Damage Substantial

Navaids involving a Boeing 767-338ER, VH-OGI, Bali, on 16 January 2000

Summary

The Boeing 767 was established on the ILS glide path to runway 27 in VMC. The crew noted that the visual approach angle appeared shallower than normal for the aircraft configuration and consequently had the crew flown the aircraft in accordance with the ILS indication, the aircraft would have probably landed short of the runway. The crew also noted that the Precision Approach Path Indicator indicated a significant undershoot. Several international crews have reported contradictory indications on the runway 27 ILS glide slope and Precision Approach Path Indicator (PAPI) guidance systems. The crews believe that the Den Pasar runway 27 ILS glide slope and PAPI may be unsafe for use in IMC. Consequently, Bali Air Traffic Services have issued a NOTAM stating that the runway 27 ILS glide path is unreliable and awaiting further testing.

Occurrence summary

Investigation number 200000179
Occurrence date 16/01/2000
State International
Report release date 03/02/2000
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Occurrence class Incident

Aircraft details

Manufacturer The Boeing Company
Model 767-338ER
Registration VH-OGI
Sector Jet
Departure point Melbourne Vic.
Destination Denpasar Indonesia
Damage Nil

Air-ground-air involving a de Havilland Canada DHC-8-102, VH-WZJ and Amateur Built RV-6, VH-OOG, Mildura, Victoria, on 16 January 2000

Summary

When a Dash-8 entered the circuit on a 5 mile final for runway 36, an amateur Vans RV-6 reported downwind for runway 27. The Dash-8 crew attempted to contact the pilot of the RV-6 but were unable establish clear communications with the pilot to determine the precise position of the RV-6 and to clarify the pilot's intentions. As a pre-cautionary measure, the Dash-8 crew elected to climb to 2,000 ft to avoid the RV-6. Witnesses on the ground reported sighting the RV-6 behind and below the Dash-8 on the extended centreline of runway 36/18 as the Dash-8 began the climb. The RV-6 was not detected visually or by TCAS. The Dash-8 was re-positioned for an approach to runway 09 when the crew had received a transmission from the RV-6 pilot which indicated that he had landed on runway 36.

Occurrence summary

Investigation number 200000167
Occurrence date 16/01/2000
Location Mildura
State Victoria
Report release date 25/01/2000
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Air-ground-air
Occurrence class Incident

Aircraft details

Manufacturer Amateur Built Aircraft
Model RV-6
Registration VH-OOG
Sector Piston
Departure point Ceduna, SA
Destination Mildura Vic.
Damage Nil

Aircraft details

Manufacturer De Havilland Canada/De Havilland Aircraft of Canada
Model DHC-8-102
Registration VH-WZJ
Sector Turboprop
Operation type Air Transport Low Capacity
Departure point Melbourne Vic.
Destination Mildura Vic.
Damage Nil

Total power loss involving a Piper PA-28-181, VH-XKX, Bathurst Aerodrome, New South Wales, on 16 December 1999

Summary

The pilot of a Piper Archer aircraft was conducting circuit work at Bathurst. While making a glide approach to runway 35, he applied engine power to adjust the approach, but was only able to obtain sufficient power to continue with the landing. On touch-down, with the intention of conducting a touch-and-go landing if the engine responded normally, the pilot advanced the throttle but received little response. He abandoned the take-off and cleared the runway.

The pilot reported that he conducted a complete engine power check, during which engine power and response appeared to be normal, with no indications of carburettor icing. The pilot then taxied the aircraft to the runway 35 threshold where he conducted further engine checks. All indications were normal. When the engine power was reduced below 1,000 RPM as he lined up for take-off on runway 35, the engine stopped and would not restart. Observing two individuals running towards the aircraft, the pilot shutdown the aircraft systems, and on leaving the aircraft noticed smoke emanating from the right side of the engine cowling. Soon after, flames were clearly visible. The fire was extinguished using a portable extinguisher.

Approximately 30% of the engine bay had sustained damage. Inspection of the engine found that the carburettor needle and seat assembly was not functioning correctly. Fuel leaked from the carburettor, both into the engine induction and into the engine bay. This condition was consistent with the circumstances of the power loss and the fire in the engine bay. When a company LAME initially inspected the engine at Bathurst, he activated the aircraft's fuel boost pump and fuel poured from the carburettor.

Detailed inspections of the carburettor were conducted by the operator and an independent engineering facility, but the carburettor defect and the fuel leakage could not be fully replicated. However, the independent examination of the carburettor found some indications of chemical residue or other agents that could have interfered with the functioning of the carburettor. The possibility of fuel contamination was supported by indications of a black deposit on the brass chains retaining the fuel tank caps. The black deposits on the chains and the fuel filter were later examined by a specialist facility and were found to be consistent with Ethylene Diamine.

Occurrence summary

Investigation number 199906059
Occurrence date 16/12/1999
Location Bathurst Aerodrome
State New South Wales
Report release date 28/07/2000
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Occurrence class Accident

Aircraft details

Manufacturer Piper Aircraft Corp
Model PA-28-181
Registration VH-XKX
Sector Piston
Departure point Bankstown NSW
Destination Bathurst NSW
Damage Substantial

Hard landing involving a Hughes Helicopters 269C, VH-OCD, Moorabbin Aerodrome, Victoria, on 9 December 1999

Summary

During pilot training, while practicing hovering techniques, the helicopter incurred a hard landing. Damage to the helicopter consisted of bending of the skid tubes. There were no injuries to the pilot. Although the pilot reported fluctuation of the engine RPM and engine roughness, a subsequent test run of the helicopter engine following removal to a test stand revealed no discrepancies. The reported engine fluctuations could not be duplicated.

Occurrence summary

Investigation number 199905806
Occurrence date 09/12/1999
Location Moorabbin Aerodrome
State Victoria
Report release date 25/02/2000
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Hard landing
Occurrence class Incident

Aircraft details

Manufacturer Hughes Helicopters
Model 269C
Registration VH-OCD
Sector Helicopter
Departure point Moorabbin Vic.
Destination Moorabbin Vic.
Damage Minor

Airframe event involving a Beech Aircraft Corp 1900D, VH-MML, Kempsey Aerodrome, New South Wales, on 20 December 1999

Summary

When the Beech 1900 entered the Kempsey circuit area on approach to landing, the landing gear relay circuit breaker tripped during the landing gear extension. The tripped circuit breaker indicated an unsafe landing gear state. The gear unsafe indication in the Beech 1900 resides flush on the landing gear selector handle in the form of a red light in the shape of a tyre. 

As the Captain selected landing gear down, the gear selector handle cycled through the transit position for a microsecond before the circuit breaker popped and the unsafe red light remained illuminated. The Captain then entered a holding pattern of orbits above the airfield in VMC at 1500 ft AGL while the First Officer initially attended to the landing gear problem. During the holding pattern, the crew consulted the abnormal checklist but elected not to manually extend the landing gear at Kempsey. The crew made a decision to divert to Williamtown where better emergency facilities were made available. 

On arrival at Williamtown, the crew extended the landing gear manually and received 3 green lights to indicate that the gear was fully deployed and functioning correctly. The aircraft landed without further incident. The aircraft Captain and First Officer demonstrated optimum crew co-ordination and decision-making. The aircraft's landing gear and wiring system was inspected and found to be without fault. The aircraft landing gear was further tested on jacks and cycled without fault. 

As a pre-cautionary measure, the landing gear pump relay, actuator lock switches, selector handle, and time delay printed circuit board were replaced. The extension of the aircraft's landing gear was subsequently and successfully flight tested at varying airspeeds and attitude combinations. The aircraft was then returned to service.

Occurrence summary

Investigation number 199906053
Occurrence date 20/12/1999
Location Kempsey Aerodrome
State New South Wales
Report release date 12/01/2000
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Occurrence class Incident

Aircraft details

Manufacturer Beech Aircraft Corp
Model 1900D
Registration VH-MML
Sector Turboprop
Departure point Port Macquarie NSW
Destination Kempsey NSW
Damage Nil