Fuel - Other involving a Fairchild SA227-AC, VH-IAW, Broken Hill Aerodrome, New South Wales, on 23 July 1998

Summary

When the aircraft arrived in the Broken Hill circuit area, the pilot observed the airfield covered in fog. After failing to become visual during an instrument approach, he decided to divert to Wilcannia. The pilot declared an emergency during the diversion, as he expected to arrive at Wilcannia with less than minimum fuel. The aircraft landed at Wilcannia with about 25 minutes of fuel remaining. Investigation showed that the Terminal Area Forecast (TAF) requested by the pilot prior to the flight did not include a forecast of fog or any other significant weather at Broken Hill.

At the time of issue of the forecast (1850 Z), the conditions at Broken Hill were considered to be too dry for fog to develop. Satellite images did not show any fog on the ground. At 2125Z, after receiving advice of increased moisture levels at Broken Hill and reports of fog at Mildura, the TAF for Broken Hill was amended to include a 30% probability of fog. The incident aircraft arrived overhead Broken Hill aerodrome at 2128 UTC and began an instrument approach. Another company aircraft had landed at Broken Hill approximately 30 minutes earlier, and had advised the pilot of the incident aircraft that there was no fog.

Occurrence summary

Investigation number 199802815
Occurrence date 23/07/1998
Location Broken Hill Aerodrome
State New South Wales
Report release date 26/11/1998
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 Fairchild Industries Inc
Model SA227-AC
Registration VH-IAW
Sector Turboprop
Departure point Canberra ACT
Destination Broken Hill NSW
Damage Nil

Separation issue involving a de Havilland Canada DHC-8-102, VH-TNG and Mcdonnell Douglas F/A-18A, 2 km North-west of Williamtown Non-Directional Beacon, New South Wales, on 13 July 1998

Summary

A DeHavilland Canada DHC-8 (Dash 8) had been cleared to take-off on runway 30, with a request to make an early right turn to track to Point Lookout. The aircraft was rolling when the crew heard traffic information being issued by the aerodrome controller to an inbound formation of three McDonnell Douglas F-18A (Hornet) fighter aircraft. The Dash 8 crew also heard the controller advise the formation pilots that an early "pitch" (a 180 degree turn onto downwind) was available. The Dash 8 crew subsequently commenced a right turn at about 350 ft. At an altitude of about 700 ft they saw a Hornet to their right, passing from left to right about 300 ft higher than them.

The Dash 8 crew arrested their rate of climb as the Hornet passed over them and was lost from view. It was subsequently determined that the Hornet pilots had sighted the Dash 8 prior to entering the circuit at 1,500 ft. The first two aircraft were able to "pitch" early, passing behind the Dash 8. The third Hornet commenced to "pitch" just astern of the Dash 8 but overtook that aircraft during the turn. The Hornet pilot assessed that the Dash 8 was at approximately 700 ft, with a moderate rate of climb, and that adequate vertical separation would be maintained. The aerodrome controller did not use separation assurance techniques to establish separation between the departing Dash 8 and the arriving fighters. As a result, separation became reliant on the judgement of the Hornet pilots, rather than by the use of air traffic control traffic conflict strategies.

Occurrence summary

Investigation number 199802719
Occurrence date 13/07/1998
Location 2 km North-west of Williamtown Non-Directional Beacon
State New South Wales
Report release date 30/04/1999
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Separation issue
Occurrence class Incident

Aircraft details

Manufacturer De Havilland Canada/De Havilland Aircraft of Canada
Model DHC-8-102
Registration VH-TNG
Sector Turboprop
Departure point Williamtown NSW
Destination Coolangatta Qld
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

Fuel - Other involving a Piper PA-31-350, VH-SVN, Norfolk Island Aerodrome, on 28 April 1998

Summary

Prior to the aircraft departing Lord Howe Island, the Terminal Area Forecast (TAF) for Norfolk Island did not require the pilot in command to arrive with fuel for holding or for diversion to an alternate airfield. During the course of the flight, the weather at Norfolk Island deteriorated. The TAF was initially amended to require 30 minutes holding and later amended to require 60 minutes of holding fuel. The pilot advised that he became aware of the deteriorating weather at his destination only after he had passed the point of no return (PNR).

When the aircraft arrived in the Norfolk Island circuit area, the pilot assessed the conditions as unsuitable to land and commenced holding at low level over the water, but within visual range of the island. Approximately 45 minutes later, the weather conditions improved sufficiently for the pilot to make a visual approach and landing. The aircraft landed with required fuel reserves. Investigation of this incident did not reveal any deficiencies in the conduct of this flight. The airline has advised that as a result of this incident, they have changed their fuel policy to require the carriage of additional fuel where possible.

Occurrence summary

Investigation number 199802796
Occurrence date 28/04/1998
Location Norfolk Island Aerodrome
State International
Report release date 02/12/1998
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 Piper Aircraft Corp
Model PA-31-350
Registration VH-SVN
Sector Piston
Departure point Lord Howe Island NSW
Destination Norfolk Island
Damage Nil

Control - Other involving a Airbus A320-211, VH-HYF, Melbourne Aerodrome, Victoria, on 14 July 1998

Summary

During take-off from runway 16 at Melbourne the pilot of the Airbus A320 aircraft experienced inadequate directional control. The take-off was rejected and the aircraft returned to the gate. The investigation determined that six days prior to this report the pilot in command's nose wheel steering transmitter had been found to be faulty. Because a spare was not immediately available, the aircraft had been cleared to operate under the conditions of the minimum equipment list. Because of that deficiency the crew did not have nose wheel steering available through the rudder pedals. Up to 70 kts nosewheel steering is through the tiller steering system, but the tiller is deactivated beyond 70 kts. The rudder becomes fully effective at about 100 kts.

Therefore between 70 kts and 100 kts pilots must apply a larger than normal rudder deflection if the rudder pedal steering system is not available to assist with directional control. The flight data recorder showed that as the aircraft commenced to diverge slightly to the left, the pilot applied right rudder. Subsequent analysis has shown that while the degree of rudder deflection applied by the pilot would have been sufficient to correct the swing had rudder pedal steering been available, without the rudder pedal steering the applied deflection was approximately half of what was required. It was determined that the pilots had not received training in the effects of the loss of rudder pedal steering. Safety action. The operator has initiated a simulator training sequence that will address the effects of failure of the rudder pedal steering system.

Occurrence summary

Investigation number 199802701
Occurrence date 14/07/1998
Location Melbourne Aerodrome
State Victoria
Report release date 17/12/1998
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Control - Other
Occurrence class Incident

Aircraft details

Manufacturer Airbus
Model A320-211
Registration VH-HYF
Sector Jet
Operation type Air Transport High Capacity
Departure point Melbourne Vic.
Destination Perth WA
Damage Nil

Near collision involving a British Aerospace PLC 3107, VH-ESW and Fokker B.V. F27 MK 50, VH-FNH, 257 km south of Carnarvon, Western Australia, on 9 July 1998

Summary

The pilot of the Fokker 50 was tracking the 168 degree radial from Carnarvon enroute to Perth. Whilst passing FL183 on climb to FL190, the pilot of the Fokker observed a Jetstream pass beneath and to the left on the reciprocal track. The Jetstream was enroute from Perth to Carnarvon and was maintaining FL180. FS had not provided traffic information to either pilot. Airservices Australia reported that a new manning roster was being trialled at the Flight Service Centre and that there were a small number of teething problems being experienced with staff and supervisors becoming familiar with the new hours and rotation of staff within the roster.

On this occasion, insufficient staff was available to provide relief to the operating positions. The flight service officer had just commenced duty but due to the staffing restrictions being experienced through the new roster, he did not have time to complete his normal familiarisation with the activities of the centre before he was required to assume the operating position. The workload at the time of the incident was high and the handover from the officer previously occupying the position was reported as being rushed and incomplete. The flight service officer who had assumed the operating position was, therefore, unfamiliar with the traffic situation.

LOCAL SAFETY ACTION

Airservices Australia has reported that it has identified the problems with the new roster and these will be rectified pending a review.

Occurrence summary

Investigation number 199802659
Occurrence date 09/07/1998
Location 257 km south of Carnarvon
State Western Australia
Report release date 06/08/1998
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 British Aerospace
Model 3107
Registration VH-ESW
Sector Turboprop
Departure point Perth WA
Destination Carnarvon WA
Damage Nil

Aircraft details

Manufacturer Fokker B.V.
Model F27 MK 50
Registration VH-FNH
Sector Turboprop
Departure point Carnarvon WA
Destination Perth WA
Damage Nil

Airframe event involving a Piper PA-31-350, VH-XLB, Young Aerodrome, New South Wales, on 8 July 1998

Summary

When the landing gear was selected up after takeoff, the right main landing gear failed to retract. The pilot in command then diverted to Cootamundra where a normal landing was carried out. The investigation is continuing.

Occurrence summary

Investigation number 199802614
Occurrence date 08/07/1998
Location Young Aerodrome
State New South Wales
Report release date 05/08/1998
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Occurrence class Incident

Aircraft details

Manufacturer Piper Aircraft Corp
Model PA-31-350
Registration VH-XLB
Sector Piston
Departure point Young NSW
Destination Cowra NSW
Damage Nil

Hard landing involving a Beagle A61, VH-WFM, Coldstream (ALA), Victoria, on 5 July 1998

Summary

The owner/pilot of the Beagle Terrier aircraft, having successfully completed a biennial flight review, departed for a local flight involving formation and scenic flying. The forecast and actual wind at the time was from the north at 15 to 20 kts, gusting to 35 kts.

The pilot reported that flight conditions were "quite rough". At the completion of local flying, the pilot manoeuvred the aircraft for a landing, configuring it with full flap and an approach speed of 50 kt. A witness to the approach observed that the aircraft was being flown very slowly when it was about 400 ft above the strip. When about 50 ft above the strip the aircraft developed a high rate of sink that the pilot was unable to arrest. The aircraft landed heavily, right wing low, breaking the right main landing gear and causing substantial damage to the engine, propeller and lower fuselage. It was subsequently determined that the aircraft was not set up properly for an approach under the prevailing weather conditions. The pilot had not adequately considered of the effects of the gusting wind, or the low-level wind shear, even though he was aware of the forecast winds and prevailing conditions.

The Beagle Terrier was a development of the Auster series of aircraft which had a reputation for being able to be flown slowly. Over the years, there have been many accidents, some fatal, as a result of pilots losing control while flying too slowly, at too low an altitude, to effect a safe recovery. With the Beagle Terrier version of the Auster, the danger of flying too slowly is magnified because the aircraft is heavier than other Auster models. When flying speed is lost the Beagle Terrier abruptly achieves a very high rate of descent, as was experienced on the day of the accident. Because of the unexpected abrupt increase in the rate of descent, the pilot did not have enough time to assess the problem and apply power to recover before the aircraft landed heavily. Local safety action As a result of this and other similar occurrences the Antique Aeroplane Association of Australia prepared a "Safety Alert" to warn its members of the inherent problems with low and slow flight, particularly in Auster and Beagle Terrier aircraft. The "Safety Alert" was published in the association's magazine "Rag and Tube".

Occurrence summary

Investigation number 199802584
Occurrence date 05/07/1998
Location Coldstream (ALA)
State Victoria
Report release date 17/12/1998
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Hard landing
Occurrence class Accident

Aircraft details

Manufacturer Beagle Aircraft Ltd
Model A61
Registration VH-WFM
Sector Piston
Departure point Coldstream Vic.
Destination Coldstream Vic.
Damage Substantial

Wheels up landing involving a Beech Aircraft Corp E55, VH-INP, Jandakot Aerodrome, Western Australia, on 4 July 1998

Summary

The pilot advised ATC that he was experiencing difficulties in obtaining normal extension of the landing gear and requested emergency services to be alerted for the landing. During the landing roll, the right main landing gear collapsed. The pilot and passengers evacuated the aircraft safely. Examination of the aircraft revealed that the right main landing gear retract/extend rod assembly was bent in two places.

The rigged length of the rod was critical to the correct "down" locking of the main landing gear, with any rod misalignment resulting in the possibility of landing gear collapse when weight was placed upon it. In addition to rod damage which occurred at the time of the gear collapse, there was evidence of some pre-existing damage. Such damage could result from the inadvertent placement of weight upon the landing gear whilst not correctly "down and locked".It was not possible to determine when this particular damage occurred.

Occurrence summary

Investigation number 199802551
Occurrence date 04/07/1998
Location Jandakot Aerodrome
State Western Australia
Report release date 25/11/1998
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 Beech Aircraft Corp
Model E55
Registration VH-INP
Sector Piston
Departure point Dongara WA
Destination Jandakot WA
Damage Substantial

Loss of separation involving a Airbus A320-211, VH-HYJ and Boeing 737-376, VH-TAX, 370 km east of Perth Aerodrome, Western Australia, on 5 July 1998

Summary

Four high-capacity air transport passenger aircraft were en route to Perth under the control of the Melbourne Sector 1 controller, using procedural control methods. Two aircraft were on air route L513 and the other two aircraft were on air route Q76/J68. The routes converged and aircraft at the same level or not longitudinally separated would be in lateral conflict at the Perth 150 NM position for the routes. The aircraft were occupying FL270, FL280 and FL290. Aircraft on the same routes were separated by the minimum vertical separation standard of 1,000 ft.

However, the aircraft's estimates for the 150 NM Perth positions were within an eight minute period which did not provide a longitudinal separation standard. The controller elected to descend VH-TAX, a Boeing 737, which was at FL280 on route Q76/J68 to FL260 prior to the 150 NM position, to maintain separation with an aircraft at the same level on route L513. The crew descended to FL260 as instructed. Subsequently, the sector 1 controller was queried by another controller as to the separation standard used to maintain separation with VH-HYJ, an Airbus A320, which was on route Q76/J68 at FL270. The controller had descended TAX through the level of HYJ without an appropriate longitudinal standard being applied between the aircraft. There was a breakdown of separation.

The lack of a longitudinal standard between TAX and HYJ had been recognised by the previous sector controller. This controller had annotated the flight progress strips for HYJ to provide a prompt for distance checks. The sector 1 controller was nearing the end of his shift, during which he had worked the last three hours alone. To accommodate training commitments for other controllers and for his own purposes the controller's shifts had been swapped on a number of occasions. The number of recent shifts worked, the time of day and the fact that the controller was nearing the end of his shift probably combined to provide an environment in which he became less vigilant in the scanning of the flight progress strips. Consequently, he did not appreciate that there was not a longitudinal separation standard between the aircraft.

Occurrence summary

Investigation number 199802560
Occurrence date 05/07/1998
Location 370 km east of Perth Aerodrome
State Western Australia
Report release date 17/12/1998
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 A320-211
Registration VH-HYJ
Sector Jet
Operation type Air Transport High Capacity
Departure point Sydney NSW
Destination Perth WA
Damage Nil

Aircraft details

Manufacturer The Boeing Company
Model 737-376
Registration VH-TAX
Sector Jet
Operation type Air Transport High Capacity
Departure point Adelaide SA
Destination Perth WA
Damage Nil

Collision with terrain involving a Robinson R22 Beta, VH-BFA, Brunette Downs (ALA), Northern Territory, on 1 July 1998

Summary

The wind at the time was reported to be from the south-east at 15 to 20 kt with gusts to 25 kts. The pilot had flown away from a mob of cattle at 50 kts in a south-westerly direction across the wind, to check on some other animals. He then reduced speed and turned left into wind at a height of about 15 ft above ground level. As he was rolling out of the turn, the helicopter sank to the ground. The helicopter cartwheeled forward and came to rest inverted. The aircraft was within weight and balance limits for the flight and was reported to have been operating normally before the accident. The pilot reported having flown 6.4 hours that day.

Occurrence summary

Investigation number 199802512
Occurrence date 01/07/1998
Location Brunette Downs (ALA)
State Northern Territory
Report release date 14/07/1998
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 Robinson Helicopter Co
Model R22 Beta
Registration VH-BFA
Sector Helicopter
Departure point Brunette Downs NT
Destination Brunette Downs NT
Damage Substantial