Landing gear unsafe indication involving a Boeing 737-376, VH-TAI, 10 km north-north-west of Brisbane Aerodrome, Queensland, on 13 September 1997

Summary

The crew reported that the 3 red "in transit" lights remained illuminated when the gear was selected down for landing. The down and locked green indicators were also illuminated at the same time. The gear was cycled several times after which normal gear down indications were obtained. Post flight examination found a faulty micro switch in the landing gear selector handle. The switch was replaced and the aircraft returned to service without further incidence.

Occurrence summary

Investigation number 199703017
Occurrence date 13/09/1997
Location 10 km north-north-west of Brisbane Aerodrome
State Queensland
Report release date 18/09/1997
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Occurrence class Incident

Aircraft details

Manufacturer The Boeing Company
Model 737-376
Registration VH-TAI
Sector Jet
Operation type Air Transport High Capacity
Departure point Townsville
Destination Brisbane
Damage Nil

Powerplant/propulsion - Other involving a Jabiru LSA 55/3J, 55-1831, Narrogin (ALA), Western Australia, on 16 September 1997

Summary

During a maintenance investigation for an oil leak on the aircraft's Jabiru 2200cc engine, it was discovered that two flywheel-to-crankshaft retention cap screws had failed. The remaining four retention cap screws also showed signs of impending failure. The engine had operated for approximately 226 hours.

The operator had previously experienced a complete failure of all six retention cap screws, during start-up, on another 2200cc engine that was fitted to this aircraft. This failure occurred at approximately 274 engine hours. The operator had also experienced problems with cracking of the engine rocker assemblies.

Although the aircraft was operated under Australian Ultralight Federation (AUF) requirements, the aircraft type was certificated to operate as an Australian registered aircraft. However, the Jabiru 2200cc and 1600cc series engine types had not been certificated, but were accepted for use in Australia under the auspices of CAO 101.55. This aircraft was one of the first to be fitted with the Jabiru 2200cc series engine.

SAFETY ACTION

As a result of this occurrence, technical personnel from the Bureau of Air Safety Investigation met with CASA to discuss the Jabiru engine certification issue, and the flywheel cap screw failures. CASA advised that both the Jabiru 1600cc and 2200cc engines were currently undergoing certification. The Jabiru 2200cc engine is to comply with JAR 22H. CASA indicated that they will consider the Jabiru engine flywheel retention cap screw failures as part of the certification process.

The Bureau of Air Safety Investigation will continue monitoring the certification of the Jabiru 1600cc and 2200cc engines.

Occurrence summary

Investigation number 199703056
Occurrence date 16/09/1997
Location Narrogin (ALA)
State Western Australia
Report release date 26/05/1998
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Occurrence class Incident

Aircraft details

Manufacturer Jabiru Aircraft Pty Ltd
Model LSA 55/3J
Registration 55-1831
Sector Piston
Damage Nil

Warning devices involving an Airbus A320-211, VH-HYA, 120 km south-south-east of Melbourne Airport, Victoria, on 15 September 1997

Summary

The crew reported that they received a cockpit warning during climb passing through FL 310. In accordance with company procedures the flight was returned for an uneventful landing at the departure runway.

Post flight examination found the number 3 Air Data reference Unit had failed. The unit was replaced and all systems tested normal. The aircraft then returned to service without further incident.

Occurrence summary

Investigation number 199702998
Occurrence date 15/09/1997
Location 120 km south-south-east of Melbourne Airport
State Victoria
Report release date 19/09/1997
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Warning devices
Occurrence class Incident

Aircraft details

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

Airspace incursion involving a British Aerospace PLC BAe-125-1000B, VH-LMP, 37 km south-south-west of Hamilton Island Aerodrome, Queensland, on 15 September 1997

Summary

The pilot initially called ATS after becoming airborne, having tried unsuccessfully to make radio contact on the ground during taxi. An airport groundsman was asked to maintain a sarwatch for the aircraft until the pilot reported that he had made contact with ATS. The pilot was instructed to remain OCTA until radar identified, due to crossing traffic. When the transponder was first observed the aircraft was at FL105 on climb. The CTA lower limit in the area is 4,500 ft. No breakdown in separation occurred.

After checking the terminal chart on taxi the pilots were satisfied that the controlled airspace started at FL200 on their route. After the mistake was revealed the pilots accepted responsibility for the error, citing lack of familiarity with the area, the light blue ink on the chart and relatively poor cockpit lighting as factors.

Occurrence summary

Investigation number 199702992
Occurrence date 15/09/1997
Location 37 km south-south-west of Hamilton Island Aerodrome
State Queensland
Report release date 17/09/1997
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Occurrence class Incident

Aircraft details

Manufacturer British Aerospace
Model BAe-125-1000B
Registration VH-LMP
Sector Jet
Operation type Business
Departure point Hamilton Island Qld
Destination Adelaide SA
Damage Nil

Hard landing involving a Piper PA-38-112, VH-AYD, Albury Aerodrome, New South Wales, on 3 September 1997

Summary

During a solo training flight, the aircraft made a heavy landing. This collapsed the nose strut and allowed the propeller to strike the ground. The aircraft then veered off the runway and came to a stop. Post flight debrief of the student by his instructor suggested that the student may have been too intent on monitoring his airspeed indicator on short final and misjudged his height.

Occurrence summary

Investigation number 199702968
Occurrence date 03/09/1997
Location Albury Aerodrome
State New South Wales
Report release date 03/10/1997
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 Piper Aircraft Corp
Model PA-38-112
Registration VH-AYD
Sector Piston
Operation type Flying Training
Departure point Albury NSW
Destination Albury NSW
Damage Substantial

Flight control systems involving an Airbus A320-211, VH-HYY, Sydney Aerodrome, New South Wales, on 8 September 1997

Summary

On approach to land, a slat fault indication was displayed when the flaps were selected. The crew discontinued the approach and obtained clearance to another area so that the appropriate checklist actions could be carried out. A normal landing followed. The crew indicated that the aircraft had a recent history of slat problems.

Maintenance staff conducted the specified maintenance checks, and no fault was found after the checks. On the following day a different flap problem was displayed, and the system was again reset, achieving normal operations. The aircraft had operated normally since then.

Occurrence summary

Investigation number 199702945
Occurrence date 08/09/1997
Location Sydney Aerodrome
State New South Wales
Report release date 12/09/1997
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Flight control systems
Occurrence class Incident

Aircraft details

Manufacturer Airbus
Model A320-211
Registration VH-HYY
Sector Jet
Operation type Air Transport High Capacity
Departure point Perth WA
Destination Sydney NSW
Damage Nil

Fuel exhaustion involving a Cessna 210L, VH-TCI, 4 km north-north-east of Toowoomba (ALA), Queensland, on 10 September 1997

Summary

The pilot commenced a business trip to Boonah and return with 65 to 70 litres of fuel on board the aircraft. Approaching Toowoomba on the return flight, a landing gear down indication was not obtained. The pilot arranged for ground observers to inspect the landing gear while he overflew the airstrip, having pulled the landing gear pump circuit breaker. One pass was flown towards the east, followed by a reversal turn and an overfly towards the west. Conscious that the fuel was getting low, the pilot conducted a right turn with the intention of landing. Around this time the engine stopped. The pilot did not have time to select the other fuel tank, nor to reset the landing gear circuit breaker, as had been his intention prior to landing.

The aircraft was landed on a road but the left wing collided with a pole. The landing gear down light was reported to be on after the landing. Prior to undertaking the flight the pilot considered that about 45 litres of fuel would be used. He normally intended having about 30 minutes of fixed reserve, however he was pressed for time on this occasion and accepted less. The investigation found that the flight as conducted should have consumed about 67 litres of fuel. Only about three litres of fuel were recovered from the reservoir tanks after the landing. No fuel was found in the wing tanks.

Occurrence summary

Investigation number 199702939
Occurrence date 10/09/1997
Location 4 km north-north-east of Toowoomba (ALA)
State Queensland
Report release date 12/09/1997
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Fuel exhaustion
Occurrence class Accident

Aircraft details

Manufacturer Cessna Aircraft Company
Model 210L
Registration VH-TCI
Sector Piston
Operation type Business
Departure point Boonah QLD
Destination Toowoomba QLD
Damage Substantial

Total power loss involving a Boeing 737-476, VH-TJN, Sydney Aerodrome, New South Wales, on 10 September 1997

Summary

The pilot of the Boeing 737 reported that after departing from runway 34L, whilst climbing through 2,400 ft with climb power set, three birds were sighted just before they impacted in the vicinity of the right engine. There was immediate vibration throughout the aircraft and smoke was evident in the cabin and cockpit. The right engine was shut down and the appropriate check lists were actioned. An emergency was declared and the aircraft subsequently returned and landed safely on runway 34L, with the vibration continuing throughout the flight. The aircraft was taxied back to the ramp on the remaining engine. There were no injuries to passengers or crew.

Inspection of the engine revealed major damage to the inlet duct and fan section, with the outer sections of two fan blades missing. There was no evidence of fire. Bird remains were recovered from the engine, and there was evidence of multiple bird strikes to the right-wing leading edge in the vicinity of the engine pylon. No data was available from the flight data recorder due to an unserviceability in the recording system.

Analysis of the bird remains indicated that feral pigeons were the most likely species. The engine manufacturer reported that the damage was not normal but was consistent with a radially orientated pigeon strike impacting near a fan blade mid span shroud section.

Occurrence summary

Investigation number 199702931
Occurrence date 10/09/1997
Location Sydney Aerodrome
State New South Wales
Report release date 24/12/1997
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Occurrence class Incident

Aircraft details

Manufacturer The Boeing Company
Model 737-476
Registration VH-TJN
Sector Jet
Operation type Air Transport High Capacity
Departure point Sydney, NSW
Destination Auckland , NZ
Damage Minor

Flight control systems involving a Boeing 767-338ER, VH-OGD, Brisbane Aerodrome, Queensland, on 10 September 1997

Summary

Soon after departure, the crew advised that the flight would be returning to Brisbane due to a hydraulic problem and requested that the fire services be placed on standby for the landing. The aircraft landed uneventfully a short time later and cleared the runway unassisted.

Post flight examination found that a piston seal on the right outboard elevator power control actuator had failed. The actuator was replaced and the aircraft returned to service without further problems.

Occurrence summary

Investigation number 199702936
Occurrence date 10/09/1997
Location Brisbane Aerodrome
State Queensland
Report release date 12/09/1997
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Flight control systems
Occurrence class Incident

Aircraft details

Manufacturer The Boeing Company
Model 767-338ER
Registration VH-OGD
Sector Jet
Operation type Air Transport High Capacity
Departure point Brisbane QLD
Destination Jakarta
Damage Nil

Passenger related involving an Embraer EMB-120 ER, VH-XFX, Brisbane Aerodrome, Queensland, on 5 September 1997

Summary

An intoxicated passenger was cautioned in the terminal by security officers, for annoying other passengers. Although the passenger appeared to be slightly intoxicated, security officers decided to take no further action when the passenger appeared to cooperate with their request to behave. The passenger then boarded the aircraft and attempted to enter the flight deck. The flight attendant seated the passenger and offered to serve him some non-alcoholic refreshments once the aircraft was airborne.

The passenger continued to annoy the other passengers and was cautioned by the captain and advised that he would be removed from the aircraft if he didn't behave. A short time later, after a request by the flight attendant, the first officer again cautioned the passenger. As the aircraft was taxiing, the passenger began to assault another passenger by punching him in the head. The flight crew called security officers, who arrived shortly after and restrained the passenger. The passenger was charged and convicted of grievous bodily harm.

Occurrence summary

Investigation number 199702927
Occurrence date 05/09/1997
Location Brisbane Aerodrome
State Queensland
Report release date 10/07/1998
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Occurrence class Incident
Highest injury level Minor

Aircraft details

Manufacturer Embraer-Empresa Brasileira De Aeronautica
Model EMB-120 ER
Registration VH-XFX
Sector Turboprop
Departure point Brisbane Qld
Destination Gladstone Qld
Damage Nil