Separation issue involving a Cessna 404, VH-TTZ and Unknown Glider, 25 km south of Ballarat, Victoria, on 25 February 1995

Summary

At the completion of a fire spotting exercise VH-TTZ was passing 9000 feet on descent in controlled airspace (CTA) when a glider was sighted at the same altitude.  Air traffic control had no knowledge of glider operations in the area, for which the lower level of CTA was 6,000 feet. The glider was not identified.

Investigation disclosed that a gliding competition was being conducted from Bacchus Marsh airfield and the glider was most probably one of those taking part. The competition task was a triangular cross-country flight departing from Bacchus Marsh, tracking southwest to Derrinallum, then north west to Buangor, then returning to Bacchus Marsh.

Bacchus March is situated under the 2,000 foot step of Melbourne CTA. On the day of the competition "Area Alpha", a specially released block of airspace over Bacchus Marsh with a 4,000 foot ceiling, gave pilots a higher start level over the airfield.  The south-eastern boundary of the 4,000 foot CTA step is located one mile to the west of the airfield. The competition track progressed under the 4,000, 6,000, 8,000 and 10,000 foot CTA steps.

Prior to take-off the pilots were briefed by the contest organiser who had arranged the task based on the weather forecast for the day, which indicated that thermals would go to 8,000 feet. The briefing covered task details, weather, safety and some airspace considerations. Pilots were not provided with airspace maps by the organiser, nor did the briefing involve airspace higher than 8,000 feet.

The weather for the day was much better than forecast with reports of some gliders taking part in the competition reaching 12,000 feet in thermals.

At the time of the airspace incursion the gliders were returning from the task. The incursion occurred south of Ballarat within the area of the 6,000 foot CTA step. Had the glider been observing the limitation and flying below the 6,000 foot CTA step, it would have been required to climb in thermals to have reached Bacchus Marsh. This would have slowed the glider's progress.

One aim of pilots in such competitions is to gain as much height as possible and, on the final glide, trade that height for speed to arrive over the airfield with just sufficient height to finish, conduct a circuit, and land. The pilot involved in the incursion would probably have been taking advantage of the strong conditions to maximise his competitive advantage and was either not aware of, or was not respecting, the airspace boundaries of the area in which he was flying.  Because of the smoke from the bushfire, it is doubtful that the glider pilots were able to achieve the visual navigation accuracy needed when flying close to CTA step boundaries.

Glider pilots do not receive training in airspace to the same extent as the pilots of powered aircraft. They also do not hold a licence issued by the Civil Aviation Authority (CAA) and consequently do not receive advice from the CAA in regard to availability of airspace maps and associated information.

The gliding fraternities' understanding and respect of airspace, and the quality of briefings, has been the subject of a previous accident report. (Ref 9303898 VH-AYB, GMN, Benalla 24 November 1993).

Significant Factors

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

  1. Glider pilots taking part in the competition were inadequately briefed in regard to airspace requirements.
  2. Glider pilots do not receive formal training in airspace considerations.
  3. The pilot was either not aware of or was not respecting the airspace limitations.
  4. Smoke from a bushfire would have made visual identification of CTA step boundaries difficult.
  5. The glider was flown in controlled airspace without a clearance.

Safety Action

This ASOR is to be referred to the Gliding Federation of Australia to reinforce the need for increased awareness of these matters. (Ref SADN 950070).

Occurrence summary

Investigation number 199500681
Occurrence date 25/02/1995
Location 25 km south of Ballarat
State Victoria
Report release date 17/05/1995
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 Cessna Aircraft Company
Model 404
Registration VH-TTZ
Sector Piston
Operation type Charter
Departure point Essendon VIC
Destination Ballarat VIC
Damage Nil

Aircraft details

Manufacturer Unknown
Model Glider
Registration Unknown
Sector Other

Runway excursion involving a Piper PA-28-180, VH-CPM, Paramatee Station via Yunta, South Australia, on 28 February 1995

Summary

The pilot had undertaken a private flight from Port Pirie intending to land at a property. When he arrived in the general area, he saw an airstrip with a vehicle parked nearby and believing that he had arrived at his destination commenced an approach for landing.

After the aircraft had touched down the pilot realised the airstrip was not suitable for the operation but was committed to continue with the landing.

The aircraft over-ran the end of the airstrip with the left wing striking a tree causing damage to the wingtip and displacing the spar rearwards. The pilot being the only occupant was uninjured.

Occurrence summary

Investigation number 199500622
Occurrence date 28/02/1995
Location Paramatee Station via Yunta
State South Australia
Report release date 08/03/1995
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 Piper Aircraft Corp
Model PA-28-180
Registration VH-CPM
Sector Piston
Operation type Private
Departure point Port Pirie SA
Destination Manunda Station SA
Damage Substantial

Forced/precautionary landing involving a Robinson R22 Beta, VH-LKS, West Alligator River, Northern Territory, on 7 March 1995

Summary

The helicopter was being operated on a wildlife survey flight, and while manoeuvring near a crocodile nest the pilot reported an apparent loss of engine power, with a subsequent decay in main rotor RPM. He attempted to regain rotor RPM by opening the throttle fully, applying right anti-torque pedal, increasing forward speed and reducing collective pitch as much as possible but was unable to arrest the descent. When ground impact became inevitable, he levelled the helicopter and applied up collective to cushion the impact, but the resulting heavy landing caused the landing gear skids to collapse and the main rotor blades to strike the ground. The engine was still running and stopped by the pilot.

A brief inspection of the helicopter was made at the accident site, but with some difficulty due to crocodiles in the area. A more detailed inspection was carried out after it was recovered to Darwin. No evidence was found to suggest that it was other than serviceable prior to impact.

The pilot stated that he had departed from Jabiru for the 58km flight with 32 litres of fuel on board the helicopter and was to refuel at a nearby airstrip for the return flight. Inspection revealed that the amount of fuel remaining in the tank at the time of the accident was 65-70 litres, and the helicopter's all up weight was estimated as being just below the allowable maximum.

The pilot later revised his statement to agree that there would have been about 65 litres of fuel on board at the time of the accident and suggested that he may have over-pitched the rotor system when distracted by outside events as he attempted to find a place to land near the crocodile nest.

Occurrence summary

Investigation number 199500659
Occurrence date 07/03/1995
Location West Alligator River
State Northern Territory
Report release date 06/04/1995
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Forced/precautionary landing
Occurrence class Accident

Aircraft details

Manufacturer Robinson Helicopter Co
Model R22 Beta
Registration VH-LKS
Sector Helicopter
Operation type Charter
Departure point Jabiru NT
Destination West Alligator River NT
Damage Substantial

Collision on ground involving a Cessna 182Q, VH-MJZ, Zingari Station, Queensland, on 28 February 1995

Summary

The pilot was landing at a station strip which is long but has a gutter running across it. The gutter is marked by vehicle tyres. The pilot planned to land on the second section of the strip and conducted a short field approach. Just before touchdown the left mainwheel struck a tyre which was thrown up into the left hand tailplane. The tailplane was bent upwards 15 cm and rearwards 2 cm at the tip.

Occurrence summary

Investigation number 199500601
Occurrence date 28/02/1995
Location Zingari Station
State Queensland
Report release date 26/07/1995
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Occurrence class Accident

Aircraft details

Manufacturer Cessna Aircraft Company
Model 182Q
Registration VH-MJZ
Sector Piston
Operation type Business
Departure point Fort Constantine
Destination Zingari
Damage Substantial

Hard landing involving a Cessna 182Q, VH-TRE, Archerfield, Queensland, on 28 February 1995

Summary

The student pilot was conducting solo touch-and-go landings on runway 04 left. The aircraft was observed to touch down heavily on the nosewheel and become airborne again. The aircraft then touched down heavily on the main gear. The propeller struck the runway and the nosewheel fork was bent during the landing. The pilot stated that she was distracted by a gust of wind during the landing sequence.

Occurrence summary

Investigation number 199500588
Occurrence date 28/02/1995
Location Archerfield
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 Hard landing
Occurrence class Accident

Aircraft details

Manufacturer Cessna Aircraft Company
Model 182Q
Registration VH-TRE
Sector Piston
Operation type Flying Training
Departure point Archerfield
Destination Archerfield
Damage Substantial

Loss of separation involving a Cessna A152, VH-PVX and Cessna 210M, VH-WNI, 30 km east of Wagga Wagga, New South Wales, on 27 February 1995

Summary

VH-WNI departed Wagga for Canberra with a clearance to maintain 4000 feet visual due to VH-PVX inbound to Wagga on a reciprocal track at 6500 feet. The pilot of VH-PVX called at three miles west of Tumut (approximately the CTA boundary) at 6500 feet. She was later issued with a clearance to descend to 4500 feet. The clearance was read back correctly, and mutual traffic was passed to both aircraft.

Later, VH-WNI reported crossing the Hume Highway. VH-PVX was then asked to report distance to run to the Hume Highway and altitude. The pilot responded, "two miles to run and leaving 4300 feet on climb". The two aircraft would have been passing at that time with less than 500 feet vertical separation.

Later, when VH-PVX was approaching at Wagga, the pilot was instructed to descend to 2500 feet and overfly for a right circuit runway 23. This was to maintain separation with other circuit traffic. VH-PVX was observed approaching the aerodrome from the east and in response to a request from air traffic control, the pilot reported her altitude as 2000 feet. She was instructed to climb back to 2500 feet.

Occurrence summary

Investigation number 199500583
Occurrence date 27/02/1995
Location 30 km east of Wagga Wagga
State New South Wales
Report release date 02/03/1995
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 Cessna Aircraft Company
Model 210M
Registration VH-WNI
Sector Piston
Operation type Flying Training
Departure point Wagga Wagga NSW
Destination Canberra ACT
Damage Nil

Aircraft details

Manufacturer Cessna Aircraft Company
Model A152
Registration VH-PVX
Sector Piston
Operation type Flying Training
Departure point Canberra ACT
Destination Wagga Wagga NSW
Damage Nil

Loss of control involving a Cessna A188/A1, VH-KVM, Trenmore Station, 20 km south-west of Condamine, Queensland, on 2 March 1995

Summary

The pilot reported that during take-off with a full load, and 15 knots of crosswind, he lost directional control and ground-looped the aircraft about one third of the way along the strip. The right gear collapsed, and the right wing was damaged when it contacted the ground.

Occurrence summary

Investigation number 199500579
Occurrence date 02/03/1995
Location Trenmore Station, 20 km south-west of Condamine
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 Loss of control
Occurrence class Accident

Aircraft details

Manufacturer Cessna Aircraft Company
Model A188/A1
Registration VH-KVM
Sector Piston
Operation type Aerial Work
Departure point Trenmore
Destination Trenmore
Damage Substantial

Control - Other involving a Boeing 767-238ER, VH-EAO, Bindook, New South Wales, on 28 February 1995

Summary

The aircraft was in clear air, descending through FL165, at an indicated airspeed of 270 kts, with the centre autopilot engaged. As the speed brake handle was moved from the closed position the aircraft rolled rapidly from a wings level attitude to some 20 degrees right bank. The first officer disconnected the autopilot and recovered to wings level. The autopilot was subsequently re-engaged and operated normally. An Engine Indication and Crew Alerting System (EICAS) message (Spoilers), and associated spoiler indicator light, remained illuminated for the remainder of the flight. One flight attendant was slightly injured during the incident.

Flight data recorder information revealed no unusual flight control inputs associated with the event. Ground inspection revealed that a fault event had been recorded by the No.2 Spoiler Control Module (SCM), but that fault could not be duplicated during ground testing. The operator carried out extensive troubleshooting of the complete system in conjunction with the manufacturer, without detecting any faults. The SCM was replaced as a precaution and the operator plans to install upgraded modules as they become available.

Occurrence summary

Investigation number 199500563
Occurrence date 28/02/1995
Location Bindook
State New South Wales
Report release date 06/12/1995
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Control - Other
Occurrence class Incident
Highest injury level Minor

Aircraft details

Manufacturer The Boeing Company
Model 767-238ER
Registration VH-EAO
Sector Jet
Operation type Air Transport High Capacity
Departure point Melbourne VIC
Destination Sydney NSW
Damage Nil

Wirestrike involving a Piper PA-36-300, VH-TVX, Warwick, Queensland, on 1 March 1995

Summary

The pilot reported that during the commencement of a spray run he noticed a power line in the flight path and pulled up to avoid the wires. The aircraft struck the wires but remained airborne and was flown back to Warwick and landed safely. The pilot said he was not previously aware of the power line, and it was not marked on the map given to him by the property owner. The aircraft damage was confined to the propeller and wire grazes on the right wing leading edge.

Occurrence summary

Investigation number 199500548
Occurrence date 01/03/1995
Location Warwick
State Queensland
Report release date 26/07/1995
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Wirestrike
Occurrence class Incident

Aircraft details

Manufacturer Piper Aircraft Corp
Model PA-36-300
Registration VH-TVX
Sector Piston
Operation type Aerial Work
Departure point Warwick
Destination Warwick
Damage Minor

Hard landing involving a Schempp-Hirth Flugzeugbau GmbH Nimbus 3, VH-MMD, 4 km north of Tocumwal, New South Wales, on 24 February 1995

Summary

The pilot was returning from a three-hour cross county flight in an area with which she was very familiar. Although too low to complete a final glide to the airfield, the pilot continued on expecting to pick up a thermal to give her the height necessary to complete the flight. The thermal source selected, a quarry, was known to be reliable.

On this occasion the expected thermal failed to materialise, and, at a very low height, the pilot was forced to select an area to make an outlanding. The pilot selected a field, initially not realising it was too short and covered in long grass.

When she realised the field was covered in long grass, she decided to improve aileron performance by setting the flaps to full negative from the previous setting of full positive. This resulted in a significant loss of lift, culminating in a heavy landing. The long wings dipped into the grass resulting in a violent ground loop.

Significant Factors

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

1. The pilot descended to a very low altitude, anticipating a thermal over a known geographic feature.

2. When the thermal did not materialise, the pilot was then limited in choice of suitable areas for an outlanding.

3. The area selected for outlanding was short and covered in long grass.

4. The pilot incorrectly manipulated the flaps.

5. The glider landed heavily and ground looped.

Occurrence summary

Investigation number 199500540
Occurrence date 24/02/1995
Location 4 km north of Tocumwal
State New South Wales
Report release date 19/05/1995
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Hard landing
Occurrence class Accident
Highest injury level Minor

Aircraft details

Manufacturer Schempp-Hirth Flugzeugbau GmbH
Model Nimbus 3
Registration VH-MMD
Sector Other
Operation type Private
Departure point Tocumwal NSW
Destination Tocumwal NSW
Damage Substantial