Wheels up landing involving a Piper PA-30, VH-EQM, Bankstown, New South Wales, on 26 June 1994

Summary

The pilot reported that after selecting the landing gear down he failed to obtain a safe down and locked indication. He notified the Tower of the situation, then retracted the landing gear and attempted a manual extension. He disarmed the landing gear circuit breaker, placed the selector switch to the "DOWN" position, disengaged the motor release arm and inserted the gear extension handle into the right socket, and after reducing airspeed, pushed the handle as far forward as it would go. As he was still unable to obtain a down and locked indication, he landed the aircraft, but the landing gear collapsed during the landing roll.

Investigation determined that the landing gear functioned normally during ground testing. The navigation lights were on at the time. This automatically dims the landing gear indication such that it is difficult to see in daylight. The pilot therefore assumed that the gear had not locked in the "DOWN" position after the first extension and he elected to attempt a manual extension. However, the pilot failed to complete the manual extension procedure which requires that after positioning the handle full forward in the right socket, the handle is then inserted into the left socket and the procedure repeated. This failed to lock the landing gear in the "DOWN" position, which subsequently collapsed under the landing loads. The pilot reported that in the fifteen years he had owned the aircraft, he had never performed a practice manual extension of the landing gear in flight.

Occurrence summary

Investigation number 199401651
Occurrence date 26/06/1994
Location Bankstown
State New South Wales
Report release date 03/05/1995
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 Piper Aircraft Corp
Model PA-30
Registration VH-EQM
Sector Piston
Operation type Private
Departure point Cooma NSW
Destination Bankstown NSW
Damage Substantial

Forced/precautionary landing involving a Cessna 172E, VH-DJI, 30 km east of Broome, Western Australia, on 23 June 1994

Summary

The pilot was carrying out a fence inspection at 500 feet above ground level when the engine power reduced to idle. He changed the fuel tank selector to the fullest tank but there was no response from the engine. The pilot then closed and opened the throttle lever a number of times. This resulted in an increase to 1000 revolutions per minute, but power again returned to idle when he stopped moving the throttle. As the aircraft was losing altitude the pilot discontinued his trouble shooting activities and attempted a forced landing in heavily timbered terrain. The aircraft struck a number of trees during the landing.

The only fault found during an inspection of the wreckage was a fuel tank vent line containing a wasps nest. Testing of the line indicated that the nest could move causing either a partial or full blockage. The vent outlet was covered with a piece of gauze to prevent this type of occurrence. The fuel tanks were fitted with vented fuel caps.

The reason for the loss of power was not determined.

Occurrence summary

Investigation number 199401647
Occurrence date 23/06/1994
Location 30 km east of Broome
State Western Australia
Report release date 31/08/1994
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 Cessna Aircraft Company
Model 172E
Registration VH-DJI
Sector Piston
Operation type Aerial Work
Departure point Roebuck Plains Station WA
Destination Broome WA
Damage Substantial

Loss of separation involving a Piper PA-28-181, VH-TXN and Fokker B.V. F28 MK 4000, VH-EWA, 2 km south-south-west of Melbourne, Victoria, on 23 June 1994

Summary

The crew on VH-EWA were conducting circuit training at Melbourne Airport. On the base leg turn for runway 34 the crew reported sighting another aircraft which had passed above them.

The other aircraft was VH-TXN, which had entered the Melbourne control zone without a clearance. The pilot of VH-TXN was proceeding from Tyabb to Shepparton and the pilot was intending to track around the southern and western boundaries of the zone. No contact was made with the aircraft until the pilot later called on the Radar Advisory Service (RAS) frequency at Rockbank.

Subsequently the aircraft again entered the zone without a clearance near Sunbury. The aircraft was not on the RAS frequency at the time. Subsequently RAS made radio contact, and the pilot was given radar headings to clear the zone near Beveridge.

Later checking of the plan for VH-TXN showed the pilot had made calculation errors in estimating the appropriate headings to fly and also errors in the time intervals. Enroute navigation errors also occurred.

Significant Factors

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

1. Poor flight planning by the pilot of VH-TXN.

2. Poor inflight navigation procedures by the pilot of VH-TXN.

Occurrence summary

Investigation number 199401646
Occurrence date 23/06/1994
Location 2 km south-south-west of Melbourne
State Victoria
Report release date 31/10/1994
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 Fokker B.V.
Model F28 MK 4000
Registration VH-EWA
Sector Jet
Operation type Air Transport High Capacity
Departure point Melbourne VIC
Destination Melbourne VIC
Damage Nil

Aircraft details

Manufacturer Piper Aircraft Corp
Model PA-28-181
Registration VH-TXN
Sector Piston
Operation type Private
Departure point Tyabb VIC
Destination Shepparton VIC
Damage Nil

Hard landing involving an American AA-5B, VH-BKX, Broken Hill, New South Wales, on 13 June 1994

Summary

While conducting solo circuit training at Broken Hill the student pilot made a bounced landing, then failed to apply sufficient back pressure on the control column as the aircraft touched down again.

The nose landing gear partially collapsed allowing the propeller to contact the runway. The pilot was not injured and later received additional dual circuit training from a club instructor.

Occurrence summary

Investigation number 199401645
Occurrence date 13/06/1994
Location Broken Hill
State New South Wales
Report release date 29/08/1994
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 American Aircraft Corp
Model AA-5B
Registration VH-BKX
Sector Piston
Operation type Flying Training
Departure point Broken Hill NSW
Destination Broken Hill NSW
Damage Substantial

Systems - Other involving a Let National Corporation Blanik L13, VH-GAQ, Bogong Park, Victoria, on 12 June 1994

Summary

The glider was being winch launched. On the initial climb at a height of about 300 feet the winch cable failed. The pilot made a modified circuit, with the base leg halfway along the strip. Touchdown was well into the strip. The pilot realised the glider would hit the fence at the end of the strip, so he attempted to lift it over the fence. The glider came down on top of the fence, catching the left wing. It then swung left, and the right wing hit a tree.

Significant Factors

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

1. Winch cable failure.

2. Insufficient altitude after the winch cable failure to ensure a successful circuit and landing.

Occurrence summary

Investigation number 199401640
Occurrence date 12/06/1994
Location Bogong Park
State Victoria
Report release date 13/10/1994
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Occurrence class Accident

Aircraft details

Manufacturer Let National Corporation
Model Blanik L13
Registration VH-GAQ
Sector Other
Operation type Private
Departure point Bogong Park VIC
Destination Bogong Park VIc
Damage Substantial

Forced/precautionary landing involving a Robinson R22, VH-HQX, Orange Creek Station, Northern Territory, on 21 June 1994

Summary

Enroute from Curtain Springs to Alice Springs, while flying low and slow to observe cattle, the pilot heard a loud noise followed by an immediate increase in engine RPM and decrease in rotor RPM. An autorotational approach and landing was carried out into the rough hilly terrain, but the helicopter landed heavily and rolled over.

A subsequent investigation revealed that the clutch assembly upper bearing had failed allowing the engine drive to disconnect from the rotor system.

The bearing was a commercial bearing, not a genuine Robinson bearing, although the manufacturer's instructions clearly state that only genuine bearings, having the correct internal clearances, must be installed. A specialist report indicated that the failure was due to brinelling of the bearing races, possibly caused by the bearing being dropped or damaged during assembly of the clutch. There was also evidence that the bearing had not been sufficiently lubricated which would have decreased its time to failure.

Although the accident was survivable, severe spinal and lower back injuries were suffered by both occupants. It was reported that the space below the seats contained a number of hard items including a hand fuel pump. The flight manual for this type of helicopter, and placards placed near the under-seat compartments caution against placing hard objects in them as they could cause injury to occupants if the seats crush while absorbing energy during a heavy landing.

SAFETY ACTION

As a result of the investigation, the Civil Aviation Authority issued Airworthiness Directive AD/R-22/39, which requires an inspection of the upper clutch actuator bearing of all R22 helicopters to ensure only approved parts are fitted.

Occurrence summary

Investigation number 199401637
Occurrence date 21/06/1994
Location Orange Creek Station
State Northern Territory
Report release date 17/04/1996
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 Serious

Aircraft details

Manufacturer Robinson Helicopter Co
Model R22
Registration VH-HQX
Sector Helicopter
Operation type General Aviation
Departure point Curtain Springs NT
Destination Alice Springs NT
Damage Substantial

Operational non-compliance involving a Short Bros SD360-300, VH-MJH, 84 km south-west of Canberra, New South Wales, on 15 June 1994

Summary

The aircraft taxied for departure to Sydney about 90 minutes behind schedule due to fog at Wagga. Although the First Officer was the handling pilot for the flight, the Captain taxied the aircraft as it was not fitted with dual nose wheel steering controls.

During taxi, the First Officer read the pre-take-off checklist. At the flight and navigation instruments check, he incorrectly read the outbound track from the flight plan as 118, which was the distance in nautical miles from Wagga to the TAPIO reporting point enroute to Sydney. The correct track was 053 degrees magnetic and as neither pilot had recognised the error, they set 118 on both HSI's.

After issuing an airways clearance for the aircraft to proceed to Sydney via Bindook at 9,000 ft, the Wagga tower controller cleared the aircraft to take-off on runway 05 and to make a right turn.

The First Officer assumed the handling pilot duties when the Captain handed over control of the aircraft during the take-off roll. The tower controller, who was monitoring the departure, said he lost sight of the aircraft due to low cloud while it was maintaining runway heading. Following a request from the tower controller the Captain advised that the cloud base was 1,000 ft above terrain. When the aircraft was established on the 118 radial of the Wagga VOR, the Captain passed the departure message. He advised the tower controller that the aircraft was tracking 053, which he read correctly from the flight plan, and was climbing to 9,000 ft.

At cruising altitude the aircraft was above two layers of cloud, through which the crew had occasional glimpses of the ground. About 10 minutes after departure the Captain decided to climb to FL 110 due to moderate turbulence, and to avoid cloud build-ups ahead. ATC requested the crew to squawk code 1000 with ident prior to issuing a clearance for the change of level. The aircraft was then located 70 NM to the right of the planned track, to the south west of Canberra. This error was subsequently recognised by the Captain who advised ATC. The aircraft was issued with a clearance to track via Canberra and Bindook to Sydney. There was no confliction with other IFR traffic.

Significant Factors

  • The First Officer misread tracking information from the flight plan during the pre-take-off checks.
  • Neither pilot verified the orientation of the selected track by reference to the appropriate map or chart.
  • Weather conditions prevented the tower controller from adequately monitoring the aircraft's outbound track.

Occurrence summary

Investigation number 199401566
Occurrence date 15/06/1994
Location 84 km south-west of Canberra
State New South Wales
Report release date 03/01/1996
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Operational non-compliance
Occurrence class Incident

Aircraft details

Manufacturer Short Bros Pty Ltd
Model SD360-300
Registration VH-MJH
Sector Turboprop
Operation type Air Transport Low Capacity
Departure point Wagga NSW
Destination Sydney NSW
Damage Nil

Loss of separation involving a Cessna 414A, VH-PTA and Cessna 310J, VH-ELX, 35 km south-west of Mackay, Queensland, on 13 June 1994

Summary

Two aircraft were flying in opposite directions on the track between Mackay and Clermont. The inbound aircraft to Mackay was being held at 5,000 ft until the outbound aircraft had passed. The outbound aircraft was maintaining 4,000 ft. The controller estimated that the two aircraft would pass at about 21 NM from Mackay.

The controller was using Distance Measuring Equipment (DME) reports from both aircraft to obtain the required separation before allowing further climb or descent. When the inbound aircraft reported at 20 DME, and the outbound aircraft reported at 25 DME, he allowed the inbound aircraft to descend. Just after passing 4,500 ft the pilot of the descending aircraft sighted the outbound aircraft straight ahead and slightly below. He took avoiding action and reported the event to ATC.

It was subsequently determined that the pilot of the outbound aircraft had not been trained in the use of DME, and that the equipment in the aircraft was unreliable. When asked for DME distances he had provided dead reckoning distances obtained by map reading, which were incorrect.

Occurrence summary

Investigation number 199401568
Occurrence date 13/06/1994
Location 35 km south-west of Mackay
State Queensland
Report release date 22/06/1995
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 310J
Registration VH-ELX
Sector Piston
Operation type Business
Departure point Mackay QLD
Destination Clermont QLD
Damage Nil

Aircraft details

Manufacturer Cessna Aircraft Company
Model 414A
Registration VH-PTA
Sector Piston
Operation type Medical Transport
Departure point Clermont QLD
Destination Mackay QLD
Damage Nil

Animal strike involving an Aero Commander 680-FL, VH-UJA, Bendigo, Victoria, on 10 June 1994

Summary

The pilot made the landing approach for runway 35, observing that the runway was clear. A normal touchdown was achieved just beyond the displaced threshold. On the ground roll at a speed of about 80 knots the aircraft struck a kangaroo that had just hopped onto the runway. The pilot saw it only for an instant before the collision. The nose wheel assembly collapsed as a result of the impact and the aircraft slid to a stop.

Significant Factor

The following factor was considered relevant to the development of the accident:

1. A kangaroo entered the runway.

Occurrence summary

Investigation number 199401551
Occurrence date 10/06/1994
Location Bendigo
State Victoria
Report release date 13/10/1994
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Animal strike
Occurrence class Accident

Aircraft details

Manufacturer Aero Commander
Model 680-FL
Registration VH-UJA
Sector Piston
Operation type Charter
Departure point Swan Hill VIC
Destination Bendigo VIC
Damage Substantial

Collision with terrain involving a Grob Twin Astir, VH-IKA, Black Springs, South Australia, on 12 June 1994

Summary

The gliding club was conducting a ridge soaring camp remote from its main base of operation, but gliders launched that morning by aerotow were reporting poor lift conditions.

A glider released near the ridge just prior to the take-off of VH-IKA was finding it difficult to find any significant lift, and the pilot believed that they had released too early for the prevailing conditions. He saw VH-IKA release about 4-500 feet lower than he had and commented to his passenger that VH-IKA would have to out-land.

A short time later he saw VH-IKA tracking towards some suitable paddocks, but were over-flown, then after several left and right turns commenced a low approach to land in another paddock.

The paddock selected was lined by trees and powerlines, and as the approach was continued the left wing clipped a tree and the glider impacted the ground inverted. Both occupants were injured and the glider substantially damaged.

The occupant of the rear seat held a gliding instructor rating but was riding as a passenger on this flight. Although he realised that the approach was becoming low, he did not doubt that the experienced pilot could handle the situation and failed to take action to prevent the accident.

Occurrence summary

Investigation number 199401550
Occurrence date 12/06/1994
Location Black Springs
State South Australia
Report release date 30/08/1994
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Collision with terrain
Occurrence class Accident
Highest injury level Minor

Aircraft details

Manufacturer Grob - Burkhart Flugzeugbau
Model Twin Astir
Registration VH-IKA
Sector Other
Operation type Private
Departure point Black Springs SA
Destination Black Springs SA
Damage Substantial