Forced/precautionary landing involving a Hughes Helicopters 369D, VH-NLJ, 61 km north-west of Nowra Aerodrome, New South Wales, on 27 November 1997

Summary

The helicopter was involved in bushfire control when the pilot reported that the engine suddenly lost power at a height of about 150 ft above trees. Attempts to restart the engine were unsuccessful and a forced landing was carried out amongst small trees. Substantial damage was incurred during the forced landing and the pilot sustained minor injuries. The helicopter was subsequently destroyed by the bushfire.

The pilot later reported he had refuelled the helicopter with 300 lbs of fuel about 15 minutes before the accident. Fuel checks at the time indicated that the fuel was not contaminated. The remainder of the fuel, the fuel filter and refuelling equipment at the base, were subsequently checked after the accident and were reported to be clean. As the engine was extensively damaged by the bushfire, the reason for the failure was not determined.

Occurrence summary

Investigation number 199703875
Occurrence date 27/11/1997
Location 61 km north-west of Nowra Aerodrome
State New South Wales
Report release date 17/12/1997
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Forced/precautionary landing
Occurrence class Accident
Highest injury level Minor

Aircraft details

Manufacturer Hughes Helicopters
Model 369D
Registration VH-NLJ
Sector Helicopter
Operation type Aerial Work
Departure point Fitzroy Falls NSW
Destination Fitzroy Falls NSW
Damage Destroyed

Airframe event involving a Piper PA-25-235/A1, VH-FOO, 40 km north-west of Tamworth Aerodrome, New South Wales, on 25 November 1997

Summary

The right main landing gear collapsed as the aircraft touched down on the grass strip at Lake Keepit, after retrieving a glider from a paddock.

Inspection revealed that one of the landing gear attachment bolts had failed. Further investigation revealed that the failed bolt was not of the correct type. It was not determined when or why an incorrect bolt had been fitted.

Occurrence summary

Investigation number 199703868
Occurrence date 25/11/1997
Location 40 km north-west of Tamworth Aerodrome
State New South Wales
Report release date 04/12/1997
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-25-235/A1
Registration VH-FOO
Sector Piston
Departure point Lake Keepit NSW
Destination Lake Keepit NSW
Damage Substantial

Near collision involving a Saab SF-340B, Unknown and Mitsubishi MU-2B-30, VH-JES, 6 km east of Ballina, New South Wales, on 18 November 1997

Summary

The crew of a Saab 340 aircraft reported downwind at Ballina NSW for runway 24, in marginal VMC with passing showers. A Mitsubishi MU2 aircraft was also operating within the MBZ and the two aircraft had established two-way communications.

The Saab crew reported that they were established on final approach for runway 24 when the MU2 turned for a tight base leg in front of them. The crew of the Saab broadcast their position on short final for runway 24. Although they state the pilot of the MU2 did not respond to this call, he flew through the centre line of the runway and continued north with his landing gear extended.

The pilot of the MU-2 stated to the owner of the aircraft, that he had broadcast his position joining downwind. As he received no reply to this call, he assumed that the Saab had already landed and continued the approach. He also made a broadcast turning base, and received a reply from the Saab that they were established on final. Due to other traffic in the area he completed a holding pattern before attempting another approach.

Occurrence summary

Investigation number 199703862
Occurrence date 18/11/1997
Location 6 km east of Ballina
State New South Wales
Report release date 02/12/1997
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 Mitsubishi Aircraft Int
Model MU-2B-30
Registration VH-JES
Sector Turboprop
Operation type Charter
Destination Ballina NSW
Damage Nil

Aircraft details

Manufacturer Saab Aircraft Co.
Model SF-340B
Registration Unknown
Sector Turboprop
Operation type Air Transport Low Capacity
Departure point Sydney NSW
Destination Ballina NSW
Damage Nil

Loss of separation involving a Boeing 747, 9M-MHJ and Boeing 767-238, VH-EAK, Melbourne Aerodrome, Victoria, on 13 November 1997

Summary

The crew of an international Boeing 747 departing runway 16 had been cleared for a KEPPA 1 Standard Instrument Departure. Departure instructions had been issued by Departures North for the aircraft to initially maintain 3,000 ft due to overflying traffic. The B747 was rolling when the tower controller called Departures North to obtain departure instructions for a Boeing 767, that had been cleared for a DOSEL 6 Standard Instrument Departure from runway 27. The Departures North controller indicated he would call back shortly with departure instructions in respect of the B767.

The departures controller observed the B747 airborne and cleared the aircraft to continue its climb, having established that separation existed with the overflying traffic. At this stage the departures controller called the tower controller and issued departure instructions for the B767 to maintain 3,000 ft. This would allow the B767 to pass under the path of the departing B747.

The departures controller subsequently observed the B767 to be airborne, with the B747 still south-west of the aerodrome, in a left turn climbing slowly through 2,800 ft. As the controller considered the B747's rate of climb insufficient to preserve vertical separation between the two aircraft, the departures controller turned the B747 onto a westerly heading and passed traffic information to the crew in respect of the B767.

Horizontal separation between the two aircraft reduced below the 3 NM standard before vertical separation standards were established. The two aircraft were further processed without incident.

Occurrence summary

Investigation number 199703851
Occurrence date 13/11/1997
Location Melbourne Aerodrome
State Victoria
Report release date 15/04/1998
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 The Boeing Company
Model 767-238
Registration VH-EAK
Sector Jet
Operation type Air Transport High Capacity
Departure point Melbourne Vic.
Destination Sydney NSW
Damage Nil

Aircraft details

Manufacturer The Boeing Company
Model 747
Registration 9M-MHJ
Sector Jet
Operation type Air Transport High Capacity
Departure point Melbourne Vic.
Destination Kuala Lumpur Malaysia
Damage Nil

Wheels up landing involving a Rockwell International 114, VH-SQX, Maitland (ALA), New South Wales, on 23 November 1997

Summary

The pilot of a Rockwell Commander 114 aircraft had completed a short local flight and was operating in the circuit pattern at Maitland.

The pilot reported having difficulty sighting some slower traffic ahead. The aircraft subsequently landed with its landing gear retracted, sliding for approximately 130 metres. The pilot and passenger were able to exit the aircraft without assistance. After establishing that it was safe to re-enter the aircraft the pilot & passenger checked that the power and fuel were switched off. At this stage they noted the gear selector was in the down position.

Post accident activation of the landing gear alternate extension system successfully lowered the gear. No defect was found with the operating system that would have prevented the landing gear from operating normally. Damage to the underside of the aircraft was consistent with the landing gear being retracted at the time of impact.

Occurrence summary

Investigation number 199703859
Occurrence date 23/11/1997
Location Maitland (ALA)
State New South Wales
Report release date 09/03/1998
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 Rockwell International
Model 114
Registration VH-SQX
Sector Piston
Operation type Private
Departure point Maitland NSW
Destination Maitland NSW
Damage Substantial

Incorrect configuration involving a Beech Aircraft Corp E55, VH-TTL, Thevenard Island (ALA), Western Australia, on 19 November 1997

Summary

The pilot reported that she inadvertently selected the landing gear up, instead of the flap, during the landing roll. Aircraft speed was about 70 kt when the mainwheels began to retract. The landing gear warning horn sounded as the gear retracted. The right wing settled onto the ground and the aircraft slewed to a stop. Both propellers suffered ground strikes. The pilot indicated that she was not distracted by anything in particular during the selection process.

Occurrence summary

Investigation number 199703797
Occurrence date 19/11/1997
Location Thevenard Island (ALA)
State Western Australia
Report release date 19/11/1997
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 Beech Aircraft Corp
Model E55
Registration VH-TTL
Sector Piston
Operation type Charter
Departure point Onslow WA
Destination Thevenard island WA
Damage Substantial

Ground strike involving a Beech Aircraft Corp 58, VH-AFK, Brewarrina Aerodrome, New South Wales, on 17 November 1997

Summary

The pilot reported that during the turn around at Brewarrina, he had not stopped the engines and the freight was placed in the aircraft through the rear cabin door. The cockpit door was not opened during the turn around. The pilot said he carried out the pre-takeoff checks and backtracked on runway 21 to use the full length of the runway for takeoff. After becoming airborne and establishing a positive climb rate he selected the gear up. Seconds later the pilot heard an explosion-like sound and noticed the cockpit door had opened. The pilot said his initial reaction was to grab the door and attempt to close it, but due to the aircraft being in a critical stage of flight he concentrated on flying the aircraft. Judging that he had sufficient runway ahead of him to land the aircraft he closed the throttles. The pilot said that after losing considerable height he realised the gear was not down, so he immediately applied full power. The pilot flew the aircraft away from the runway surface and carried out a 500 ft circuit. He subsequently carried out a normal landing, and taxied clear of the runway.

An inspection of the aircraft revealed that both propellers had contacted the runway, the step behind the right-wing root had been bent up, and the ADF sensor antenna had also been bent. The pilot said that he was certain that the cockpit door had been positively locked before the previous departure from Bourke, and that the locking handle had not been moved since that time.

Occurrence summary

Investigation number 199703846
Occurrence date 17/11/1997
Location Brewarrina Aerodrome
State New South Wales
Report release date 11/12/1997
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 Beech Aircraft Corp
Model 58
Registration VH-AFK
Sector Piston
Operation type Charter
Departure point Brewarrina NSW
Destination Walgett NSW
Damage Substantial

Fuel starvation involving a Cessna 150M, VH-RZW, 125 km east-north-east of Geraldton Aerodrome, Western Australia, on 17 November 1997

Summary

The aircraft was being used to muster cattle at Tallering Station. The pilot reported that the aircraft's fuel tanks had been filled the night before the accident. On the morning of the accident, the pilot again checked that the fuel tanks were full.

Having been airborne for approximately 4.75 hours, the pilot flew the aircraft towards the station homestead to refuel. The pilot estimated that there was sufficient fuel to remain airborne for at least a further 45 minutes. However, almost immediately, the aircraft's engine began surging and misfiring. The pilot reported that he completed the appropriate checks and when he pumped the throttle, the engine gave some response for approximately 5 to 10 seconds before it finally stopped.

The pilot reported that he attempted to find a suitable forced landing area but the aircraft impacted trees at approximately 40 kts late on final approach. The pilot was uninjured. Later, approximately 22 L of fuel was drained from the aircraft's left fuel tank but none was found in the right tank.

The aircraft's left and right fuel tanks were vented through a vent line connected to the left fuel tank. The vent line is fitted with a vent valve. However, the right fuel tank also had a vented cap. The subsequent engineering inspection found that the vent line valve had deteriorated and was sticking closed. It is likely that the vent valve had stuck closed at some point during the flight. The right tank probably fed quicker than the left tank due to it venting correctly through the vented cap. When the right tank contents had been exhausted, the low air pressure in the left tank probably created an insufficient head of fuel to feed the engine.

A defect report has been submitted to CASA by the operator's engineering organisation, recommending that both fuel tanks be fitted with vented fuel caps.

Occurrence summary

Investigation number 199703792
Occurrence date 17/11/1997
Location 125 km east-north-east of Geraldton Aerodrome
State Western Australia
Report release date 13/02/1998
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Fuel starvation
Occurrence class Accident

Aircraft details

Manufacturer Cessna Aircraft Company
Model 150M
Registration VH-RZW
Sector Piston
Operation type Aerial Work
Departure point Tallering Station WA
Destination Tallering Station WA
Damage Substantial

Loss of separation involving a Boeing 767-338ER, VH-OGO and Boeing 747-200F, 19 km north-north-west of Elbis (IFR), on 11 October 1997

Summary

Report not released due to no IP comment from the Indonesian agency on this joint investigation report. ASOR hard copy held on occurrence file. Report not to be released without the approval of the Director or a DD Signed Alan L Stray Deputy Director Investigations 6 July 1998

Occurrence summary

Investigation number 199703774
Occurrence date 11/10/1997
Location 19 km north-north-west of Elbis (IFR)
State International
Report release date 06/07/1998
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 The Boeing Company
Model 767-338ER
Registration VH-OGO
Sector Jet
Operation type Air Transport High Capacity
Departure point Brisbane Qld
Destination Bangkok Thailand
Damage Nil

Aircraft details

Manufacturer The Boeing Company
Model 747-200F
Registration Unknown
Sector Other
Operation type Air Transport High Capacity
Departure point Sydney NSW
Destination Bangkok Thailand
Damage Nil

Loss of separation involving a Cessna 441, VH-LBY and British Aerospace PLC BAe 146-100, VH-NJZ, 37 km south of Meekatharra VOR, Western Australia, on 16 November 1997

Summary

A Cessna Conquest, VH-LBY was flying at FL240 from Plutonic to Perth via the Meekatharra and Mount Magnet radio navigation aids. A BAE 146, VH-NJZ was flying at FL250 from Perth to Paraburdoo via the Rusty reporting point and the Meekatharra aid. A second Conquest, VH-NFD was tracking to Mount Magnet, also via Rusty and the Meekatharra aid at FL250. At 0931, the pilot of LBY requested a climb to FL260 but the sector air traffic controller advised that the level was unavailable due to opposite direction traffic, (a second BAe 146, VH-NJN). VH-NJN was behind NJZ at the non-standard level of FL260. The Sector controller then cleared NJN to climb to the standard FL270. At 0935, the controller cleared LBY to climb to FL260 with a requirement for the aircraft to achieve the level by 0940. Approximately 1 minute later, the controller apparently recognised that a breakdown in separation may be possible between LBY and NJZ. He requested a level check from the pilot of LBY that indicated that the aircraft were vertically separated by 300 ft. He did not issue traffic information to either aircraft. Soon after, the pilot of NJZ requested the position of LBY and the aircraft were 17 NM apart and closing. The controller then instructed LBY to expedite the climb. Three seconds later, the pilot of LBY reported maintaining FL260.

The pilot of NJZ subsequently reported that he had calculated a time of passing with LBY of 0940 and when he heard LBY was cleared to climb, he began an immediate visual scan of the area ahead and turned the aircraft's landing lights on. The pilot of NJZ reported that approximately 1 minute after the pilot of LBY reported maintaining FL260, he sighted LBY. The pilot of LBY reported that approximately 2 minutes after establishing FL260, he sighted NJZ passing below. A breakdown of separation had occurred because the required 10 minutes separation, based on the time the aircraft expected to pass each other, had not been achieved. The aircraft had not been issued with the required traffic information when the controller became aware that the aircraft were in unsafe proximity to each other.

Whilst the controller had 3 sectors combined at the time of the incident, the workload was reported as being light to moderate and not considered excessive. Personnel were available to provide assistance if requested and evidence indicated that the controller was not under pressure at the time of the incident. The controller had not calculated a time of passing between LBY and NJZ because the aircraft were to be separated by 1,000 ft and were not in conflict. The controller's requirement for LBY to reach FL260 by 0940 was 10 minutes before the calculated time of LBY passing NFD, therefore, it is likely that the calculated separation requirement was based on LBY's passing of NFD, not NJZ.

The controller appears to have been preoccupied with ensuring separation between LBY and NFD. Therefore, he overlooked separation requirements with NJZ. This oversight subsequently led to a breakdown in separation between NJZ and LBY.

Occurrence summary

Investigation number 199703781
Occurrence date 16/11/1997
Location 37 km south of Meekatharra VOR
State Western Australia
Report release date 13/02/1998
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 British Aerospace
Model BAe 146-100
Registration VH-NJZ
Sector Jet
Operation type Air Transport High Capacity
Departure point Perth WA
Destination Paraburdoo WA
Damage Nil

Aircraft details

Manufacturer Cessna Aircraft Company
Model 441
Registration VH-LBY
Sector Turboprop
Operation type Charter
Departure point Plutonic WA
Destination Perth WA
Damage Nil