Incorrect configuration involving a Beech Aircraft Corp A36, VH-MTM, Maryborough Aerodrome, Queensland, on 7 October 1995

Summary

During the landing roll, at about 60 kts, the pilot inadvertently selected the gear up when he intended to raise the flaps.

The nose and left main gear collapsed. The aircraft came to rest on the runway near a taxiway.

Occurrence summary

Investigation number 199503328
Occurrence date 07/10/1995
Location Maryborough Aerodrome
State Queensland
Report release date 12/03/1996
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 A36
Registration VH-MTM
Sector Piston
Operation type Business
Departure point Monto QLD
Destination Maryborough QLD
Damage Substantial

Flight control systems involving a Schempp-Hirth Flugzeugbau GmbH Cirrus 75, VH-XQZ, Central Mangrove, New South Wales, on 7 October 1995

Summary

The glider was nearing the end of a 190 km cross country flight. The weather was fine, with good visibility and light west to north westerly winds. At about five km from the airfield the pilot decided to descend from 3,500 ft by increasing airspeed to 116 kt, some 3 kt less than the maximum airspeed limit.

The pilot reported that initially the glider was flying normally at this speed, but suddenly the control stick was pulled from his grasp and vibrated back and forth, banging against its stops. He managed to regain his hold on the stick and began to raise the nose of the aircraft to reduce airspeed. At this point the glider rolled into an inverted attitude.

Believing that the aircraft had suffered a major structural failure, the pilot elected to escape from the cockpit and make a parachute descent. Initially, he experienced difficulty in releasing the canopy, but once open he fell freely from the glider. The pilot made a successful parachute descent, whilst the glider proceeded to land in bushes, sustaining minimal damage.

During a subsequent airworthiness inspection by the gliding authority, it was found that the mass balance of the tailplane was beyond limits. The out of balance condition had apparently occurred some three years previously when the glider had been rebuilt. As a result, elevator flutter had occurred as the aircraft reached its maximum airspeed limit. Under normal circumstances the critical airspeed for the onset of elevator flutter should have been well in excess of the maximum airspeed limit. 

The gliding authority has advised that it has taken action to prevent a recurrence by issuing an airworthiness directive, and conducting surveillance of the maintenance organisation concerned.

Occurrence summary

Investigation number 199503293
Occurrence date 07/10/1995
Location Central Mangrove
State New South Wales
Report release date 02/05/1996
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 Schempp-Hirth Flugzeugbau GmbH
Model CIRRUS 75
Registration VH-XQZ
Sector Other
Operation type Private
Departure point Central Mangrove NSW
Destination Central Mangrove NSW
Damage Minor

Ground strike involving a Piper PA-28-180, VH-EDJ, Goulburn Aerodrome, New South Wales, on 20 September 1995

Summary

The student pilot was conducting a solo navigation exercise. On arrival in the Goulburn circuit area, he elected to land on runway 04, having observed that the wind was northerly at about 10-15 kts. Shortly after turning onto base leg the pilot realised that the wind was gusting.

During the landing flare the aircraft was struck by a strong wind gust which caused it to be displaced from the runway alignment. While the pilot was attempting to re-align the aircraft with the runway a second wind gust caused the left wing to drop and strike the runway grass verge.

The pilot recovered control of the aircraft and completed the landing without further difficulty.

Significant factor

1. The pilot did not conduct a go-around following the first upset.

Occurrence summary

Investigation number 199503285
Occurrence date 20/09/1995
Location Goulburn Aerodrome
State New South Wales
Report release date 19/12/1995
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Ground strike
Occurrence class Incident

Aircraft details

Manufacturer Piper Aircraft Corp
Model PA-28-180
Registration VH-EDJ
Sector Piston
Operation type Flying Training
Departure point Bankstown NSW
Destination Goulburn NSW
Damage Minor

Loss of separation involving a Douglas A-4G, and Piper PA-28-161, VH-PZL, 13 km north-east of Canberra Aerodrome, New South Wales, on 5 October 1995

Summary

Kiwi 52, an A4 Skyhawk, on a missed approach from a runway 35 ILS approach, had been issued with missed approach instructions to maintain runway heading and maintain 6000 feet. When Kiwi 52 was about four miles north of the aerodrome, the aircraft was instructed to turn right heading 070 degrees and to climb to and maintain 6500 feet. The altitude restriction was to maintain separation with VH-PZL, overflying at 7500 feet.

As Kiwi 52 approached VH-PZL, Kiwi 52s altitude readout reached 7400 feet. When asked to confirm his level, the pilot of Kiwi 52 reported maintaining 6500 feet. Kiwi 52 was passed traffic information on VH-PZL. Shortly afterwards Kiwi 52s altitude readout returned to 6500 feet. The two aircraft closed to about two miles radar separation with Kiwi 52 passing behind VH-PZL.

Factors

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

1. The pilot of Kiwi 52 failed to follow an air traffic control instruction to maintain an altitude.

Occurrence summary

Investigation number 199503280
Occurrence date 05/10/1995
Location 13 km north-east of Canberra Aerodrome
State New South Wales
Report release date 09/10/1995
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 Douglas Aircraft Company
Model A-4G
Registration Unknown
Sector Jet
Operation type Military
Departure point Nowra NSW
Destination Nowra NSW
Damage Nil

Aircraft details

Manufacturer Piper Aircraft Corp
Model PA-28-161
Registration VH-PZL
Sector Piston
Departure point Moorabbin VIC
Destination Camden NSW
Damage Nil

Runway excursion involving a Eiriavion Oy PIK 20-B, VH-WQC, Jondaryan, Queensland, on 27 September 1995

Summary

The right side of the strip was temporarily unavailable for take-off due to a glider with an unserviceability returning for a landing. A tug aircraft was parked off the left side of the strip. Following a discussion with the pilot of the parked tug a decision was made to take off on the left side of the strip. During the ground run the left wing dropped to the ground, the glider veered to the left and the wingtip struck the left main gear tyre of the parked tug. The glider was substantially damaged.

Occurrence summary

Investigation number 199503278
Occurrence date 27/09/1995
Location Jondaryan
State Queensland
Report release date 12/03/1996
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Runway excursion
Occurrence class Accident

Aircraft details

Manufacturer Eiriavion Oy
Model PIK 20-B
Registration VH-WQC
Sector Other
Operation type Private
Departure point Jondaryan QLD
Destination Jondaryan QLD
Damage Substantial

Depart/app/land wrong runway involving a Cessna 182F, VH-TMG, Aratula, Queensland, on 1 October 1995

Summary

The aircraft landed beside the strip during light rain. The pilot said that he thought that he had lined up to land on the strip to the right of markers on the left side. What he had seen were the right side markers and inadvertently landed on rough ground to the right of the marked strip. The aircraft struck an obstacle (not identified) in the long grass and was substantially damaged.

The pilot later said that he felt fatigued after a full day's flying.

Occurrence summary

Investigation number 199503274
Occurrence date 01/10/1995
Location Aratula
State Queensland
Report release date 12/03/1996
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Depart/app/land wrong runway
Occurrence class Accident

Aircraft details

Manufacturer Cessna Aircraft Company
Model 182F
Registration VH-TMG
Sector Piston
Operation type Sports Aviation
Departure point Aratula QLD
Destination Aratula QLD
Damage Substantial

Forced/precautionary landing involving a Piper PA-28R-200, VH-SKW, Woodgate (ALA), Queensland, on 3 October 1995

Summary

The aircraft was taking off from a bush strip. The pilot said that the take-off run took about 600 m of the 800 m available. However, the aircraft failed to climb away so the pilot rejected the take-off at a late stage. The aircraft was landed beyond the end of the strip, amongst saplings and trees.

The pilot attributed the lack of performance to a partial power loss, although he had not heard a change in engine note, nor had he noticed any abnormal engine indications. During subsequent testing of the engine, full power was able to be achieved. Two other pilots later stated that the strip surface was affected by soft sand, and only had a usable length of about 500 m. The aircraft performance charts indicated that a take-off roll of approximately 600 m was required under the prevailing conditions.

It is considered likely that the pilot attempted to fly the aircraft off the ground prematurely. As a result, the aircraft climb performance was adversely affected by induced drag.

Occurrence summary

Investigation number 199503270
Occurrence date 03/10/1995
Location Woodgate (ALA)
State Queensland
Report release date 28/11/1995
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 Piper Aircraft Corp
Model PA-28R-200
Registration VH-SKW
Sector Piston
Operation type Private
Departure point Woodgate QLD
Destination Toowoomba QLD
Damage Substantial

Loss of control involving a Grumman G-164B, VH-HCR, 50 km south-west of Hay, New South Wales, on 26 September 1995

Summary

The pilot was tasked with spreading urea on dry rice crops.

He took off to the south in calm conditions. At an altitude of about 30 ft in the initial climb, he commenced a left procedural turn while continuing to climb at 70 kts to approximately 100 to 150 ft. The pilot then noticed that the airspeed had decayed to about 60 kts so he lowered the nose. Airspeed continued to decay so he stopped the turn while heading northwest and lowered the nose to increase airspeed. The aircraft continued to sink and touched down in a ploughed paddock. The pilot maintained climb power during the ground roll, hoping that the aircraft would take-off again. After a ground roll of 300 to 400 metres through the ploughed paddock, the aircraft collided with a low earthen embankment and overturned.

No fault with the engine or airframe has been reported to have contributed to the accident. The pilot admitted that the inflight turns were somewhat tight. It is probable that the aircraft stalled causing it to mush to the ground. It is also probable that the drag effects of the ploughed soil prevented the aircraft from accelerating enough to become airborne.

Significant Factors

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

1. The pilot probably allowed the airspeed to decay during a tight procedural turn.

2. The pilot did not attempt to stop the aircraft in the ploughed paddock.

3. The pilot did not select full power for the attempted take-off from the ploughed paddock.

Occurrence summary

Investigation number 199503214
Occurrence date 26/09/1995
Location 50 km south-west of Hay
State New South Wales
Report release date 14/03/1996
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Loss of control
Occurrence class Accident

Aircraft details

Manufacturer Grumman American Aviation Corp
Model G-164B
Registration VH-HCR
Sector Turboprop
Operation type Aerial Work
Departure point 50 km SW Hay NSW
Destination 50 km SW Hay NSW
Damage Substantial

Wirestrike involving a Weatherly Aviation 620A, VH-NZG, 111 km south of Kojonup (ALA), Western Australia, on 29 September 1995

Summary

The pilot was conducting spray runs parallel to an electrical power transmission line. During one run the aircraft collided with a feeder line at 900 to its track. The collision damaged the rudder and vertical stabiliser and although the aircraft remained airborne the pilot had difficulty with directional control. He did not attempt to jettison the load. The pilot continued to fly the aircraft straight ahead until it approached a field that was suitable for a forced landing. During the attempted landing the aircraft was affected by a strong crosswind and the pilot was unable to prevent it from weathercocking into wind and colliding with some trees.

The pilot had been made aware of the main but not the feeder line. He had not noted the feeder line during his pre-application inspection, probably because the line was not visible against the dark background created by the crop. The pilot later indicated that, after the collision, he was reluctant to jettison the load as he was uncertain what effect the sudden loss of weight would have on aircraft stability. When the aircraft weathercocked into wind the damage to the rudder prevented him from being able to exercise sufficient directional control.

Occurrence summary

Investigation number 199503208
Occurrence date 29/09/1995
Location 111 km south of Kojonup (ALA)
State Western Australia
Report release date 12/12/1995
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Wirestrike
Occurrence class Accident
Highest injury level Minor

Aircraft details

Model 620A
Registration VH-NZG
Sector Piston
Operation type Aerial Work
Departure point Bokerup WA
Destination Bokerup WA
Damage Substantial

Runway incursion involving an Airbus A300-B4-203, VH-TAC, Brisbane Aerodrome, Queensland, on 28 September 1995

Summary

A utility vehicle was instructed by the surface movement controller to hold at taxiway A4 holding point which is clear of runway 01. At the same time an A300 was landing on runway 01 and was expected to exit the runway via taxiway A4S, a high-speed exit. However, the aircraft continued past this exit, and as it became obvious that it would now exit at taxiway A4 where the vehicle was stopped, the vehicle driver was instructed to vacate the taxiway. The driver reacted by driving across the runway, passing beneath the wing of the aircraft as it entered the taxiway. The driver misunderstood the instruction and was under the impression that he was cleared to cross the runway. The company has undertaken to re-brief all drivers with reference to clearance requirements.

Occurrence summary

Investigation number 199503192
Occurrence date 28/09/1995
Location Brisbane Aerodrome
State Queensland
Report release date 12/03/1996
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Runway incursion
Occurrence class Incident

Aircraft details

Manufacturer Airbus
Model A300-B4-203
Registration VH-TAC
Sector Jet
Operation type Air Transport High Capacity
Destination Brisbane, QLD
Damage Nil