Cessna 402, VH-MWF, Rockhampton QLD, 26 February 1986

Summary

As the aircraft was climbing through 1000 feet the pilot noticed a reduction in manifold pressure and fuel flow readings for the right engine. He advanced the right throttle and found that the engine instruments indicated that the engine was performing as if it was normally aspirated. A short time later he saw flames coming from the right engine and the fire warning light and alarm bell activated. The fuel to the engine was shut off but the pilot was unable to feather the propeller. The fire did not go out. However, the pilot was able to successfully land the aircraft at Rockhampton where the fire was extinguished. An inspection of the aircraft revealed that the number 4 cylinder was cracked and holed around the seat of the exhaust valve. It is considered that the cylinder cracking and the subsequent burn away of material resulted from extreme operating temperatures. The torching of the combustion products through the hole resulted in the induction manifold being consumed by fire. It was also determined that the propeller could not be feathered because the propeller governor control cable had become inoperative after its mount point on the induction manifold had been destroyed by fire.

Occurrence summary

Investigation number 198602641
Occurrence date 26/02/1986
Location Rockhampton
Report release date 14/07/1987
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Occurrence class Accident
Highest injury level None

Aircraft details

Manufacturer Cessna Aircraft Company
Model 402
Registration VH-MWF
Operation type Charter
Departure point Rockhampton QLD
Destination Mackay QLD
Damage Substantial

Bell 206L, VH-LIN, 5 km south-west of Diggers Rest, Victoria, on 2 March 1989

Summary

Circumstances:

The cameraman was filming a car from the right rear side of the helicopter which had the door removed. The car was travelling north-west at about 60 km per hour along a quiet country road through very open terrain. The helicopter flew at about 30 feet above the ground and about 100 metres from the left rear of the car. During the first filming run the pilot noticed a school bus driving north towards a "T" intersection through which the car would pass. He decided to avoid flying low over the bus and to remain well clear of a house just beyond the intersection. While distracted by the moving bus he veered from the planned flight path and pulled up over a powerline which followed the road used by the bus. The top strand of the powerline passed just over the front of the left landing skid, slid back to the cross tube, and began to drag the helicopter to the ground. While the pilot counteracted the inflight effects of being snagged by the powerline, the main rotor severed the tail boom, shortly before the helicopter impacted the ground. On impact the fuselage and cabin broke up, the fuel tank split, and the left landing gear separated but there was no fire. The pilot was experienced in the filming role and was familiar with the area. A strong, gusty, northerly wind caused mechanical turbulence, but conditions were suitable for filming.

Significant Factors:

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

1. The pilot was distracted by a moving school bus.

2. The pilot was on a filming task involving low level operations.

3. The pilot misjudged his altitude and clearance from the wire.

Recommendations:

The cameraman was wearing a sturdy "Parachute Australia" harness anchored to an approved, custom-built, airframe bracket. All restraints held but difficulty was experienced releasing the harness catches after the accident. The harness undoubtedly saved the cameraman from worse injury. The pilot believes that this harness and attachment system surpassed the average standard of similar equipment commonly used. It is recommended that the CAA gives consideration to formalizing a standard for crewman harnesses and their attachments to airframes.

Occurrence summary

Investigation number 198901538
Occurrence date 02/03/1989
Location 5 km south-west of Diggers Rest
State Victoria
Report release date 19/02/1990
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Wirestrike
Occurrence class Accident
Highest injury level Serious

Aircraft details

Manufacturer Bell Helicopter Co
Model 206L
Registration VH-LIN
Serial number 45124
Sector Helicopter
Operation type Aerial Work
Departure point 4 km SW of Diggers Rest VIC
Destination 4 km SW of Diggers Rest VIC
Damage Destroyed

Bell 206B, VH-PHW, Sydney Airport NSW, 12 July 1989

Summary

Following an early morning flight to Bankstown and return to Sydney, the helicopter was being prepared for a further flight. The preflight inspection had proceeded to the point where one of the crew had untied the main rotor from the stowed fore and aft position and was rotating it to the abeam position. During this procedure a restriction was noticed in the main rotor travel. Investigation revealed the restriction was caused by a partial disconnection of the tail rotor drive shaft which allowed the drive shaft to foul the drive shaft cover assembly. One nut connecting the forward disc of the drive shaft was missing from its bolt, the other nut was only finger tight. One nut at the rear disc was only finger tight, the other nut/bolt assembly was completely detached. The self locking capability of the four nuts was found to be serviceable. The helicopter had only operated 12.5 hours since extensive maintenance had been carried out on the tail rotor drive assembly.

Occurrence summary

Investigation number 198903621
Occurrence date 12/07/1989
Location Sydney Airport
Report release date 06/11/1989
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Occurrence class Incident
Highest injury level None

Aircraft details

Manufacturer Bell Helicopter Co
Model 206
Registration VH-PHW
Serial number 2565
Sector Helicopter
Operation type Aerial Work
Departure point Sydney Airport NSW
Destination N/A
Damage Nil

Beech D55, VH-MKE, Warkworth NSW, 28 April 1988

Summary

The pilot reported that he had obtained normal indications when he selected the landing gear down. The subsequent touchdown was normal but as the nosewheel was lowered to the ground, the nose gear leg collapsed. The eyebolt between the nose gear retract aft rod and the landing gear motor had failed, resulting in the nose gear failing to lock down and allowing it to retract on ground contact. The eyebolt had failed at the beginning of the thread, adjacent to the eye. Specialist examination indicated that the initial fracture was indicative of fatigue and had been present for some time. The aircraft had only recently been returned to service following an earlier accident which involved a fatigue failure of the nose gear retract rod plunger fork. It was considered likely that the fracture had initiated at the same time as the earlier failure.

Occurrence summary

Investigation number 198802361
Occurrence date 28/04/1988
Location Warkworth
Report release date 07/02/1989
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Wheels up landing
Occurrence class Accident
Highest injury level None

Aircraft details

Manufacturer Beech Aircraft Corp
Model 55
Registration VH-MKE
Serial number TE-592
Operation type Charter
Departure point Maitland NSW
Destination Warkworth NSW
Damage Substantial

Beech A36, Pickertaramoor NT, 10 October 1988

Summary

On arrival at his destination, the pilot joined the circuit on the downwind leg and used the pitch lever to signal his arrival to the ground party. He then distracted himself by cancelling his SAR watch by radio. By this time he had flown past the windsock and it was no longer in view. This distraction continued while he tried to recall the wind direction and decide if he should go around and check the windsock. Deciding to continue the approach, he positioned the aircraft on final but only carried out his final approach checks in a perfunctory manner and did not positively check the gear down indications. The aircraft subsequently landed wheels up and neither the pilot nor the passengers recalled hearing the undercarriage warning horn sound.

Detailed investigation showed that the warning horn micro-switch actuator on the throttle assembly was defective and of a faulty design. The subject component had been redesigned by the manufacturer, however, the modified component still bore the same identification number as the superseded item. In addition, the component of faulty design was still available in the spares inventory.

Occurrence summary

Investigation number 198800734
Occurrence date 10/10/1988
Location Pickertaramoor
Report release date 28/03/1989
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Wheels up landing
Occurrence class Accident
Highest injury level None

Aircraft details

Manufacturer Beech Aircraft Corp
Model 36
Registration VH-COG
Operation type Private
Departure point Darwin NT
Destination Pickertaramoor NT
Damage Substantial

Beech A36, VH-WMK, Lightning Ridge, New South Wales, on 6 October 1989

Summary

Circumstances:

The aircraft was involved in local flying. On the final landing and during touchdown, the landing gear collapsed, and the aircraft slid to rest on the runway. The pilot advised that the landing gear selector switch had been accidentally bumped to the ‘UP' position by the knee of the front seat passenger. Inspection of the landing gear selector switch revealed that the plastic identification knob had been screwed too far onto the switch arm. This rendered the locking function of the switch ineffective.

Significant Factors:

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

1. Poor design of the plastic identification knob of the landing gear selector switch.

2. Screwing the plastic identification knob too far onto the landing gear selector switch rendered the locking function ineffective.

Recommendations:

1. That the Civil Aviation Authority publish an Airworthiness Advisory Circular article to advise maintenance personnel that the safety lock function of the landing gear selector, (as used in many general aviation aircraft) will be compromised if the plastic switch knob is screwed on too far.

2. That an article be published in the BASI journal to advise pilots of retractable landing gear general aviation aircraft, not to attempt to tighten the landing gear selector switch knob if it ever comes loose. This action may render the locking function inoperative, as it may only need one half turn for this to happen.

Occurrence summary

Investigation number 198902579
Occurrence date 06/10/1989
Location Lightning Ridge
State New South Wales
Report release date 24/04/1990
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Wheels up landing
Occurrence class Accident
Highest injury level None

Aircraft details

Manufacturer Beech Aircraft Corp
Model 36
Registration VH-WMK
Serial number E-1450
Sector Piston
Operation type Private
Departure point Lightning Ridge NSW
Destination Lightning Ridge NSW
Damage Substantial

Ikarus Fox, Not registered, Warwick QLD, 2 March 1986

Summary

At about 300 feet on climb after take-off, the engine suffered a partial loss of power. The pilot turned the aircraft back towards the strip and shortly after aligning it for landing, the engine suffered a further loss of power. The pilot was unable to avoid power lines on the approach path and the aircraft collided with the wires before coming to rest near a house. The engine was still running when the aircraft struck the ground, and the reason for the decrease in performance could not be established.

Occurrence summary

Investigation number 198602682
Occurrence date 02/03/1986
Location Warwick
Report release date 04/09/1986
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Occurrence class Accident
Highest injury level Minor

Aircraft details

Manufacturer Unknown
Model Ikarus Fox
Registration Not registered
Operation type Private
Departure point Warwick QLD
Destination Warwick QLD
Damage Substantial

Beech C24R, VH-EDN, Moorabbin VIC, 10 June 1987

Summary

The pilot was conducting his first solo flight in the aircraft type following a short dual check. During his return to Moorabbin he noted what he considered to be a radio failure. He was concerned because of approaching last light, and made a no-radio entry return to the aerodrome. He made two circuits during which he attempted to extend the gear and flaps using their normal, electrically powered, systems. Although unable to obtain a gear down indication and because he was of the opinion that the problem was related solely to the radios, he elected to land the aircraft without considering the use of the emergency gear extension system. The aircraft subsequently touched down with both gear and flap retracted. Investigation revealed that the aircraft battery was discharged. The pilot had not turned on the alternator field switch during the pre-start or pre-taxy checks. He was surprised to learn of the existence of the field switch when it was mentioned during the subsequent interview.

Occurrence summary

Investigation number 198701435
Occurrence date 10/06/1987
Location Moorabbin
Report release date 30/10/1987
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Wheels up landing
Occurrence class Accident
Highest injury level None

Aircraft details

Manufacturer Beech Aircraft Corp
Model 24
Registration VH-EDN
Serial number MC557
Operation type Private
Departure point Moorabbin
Destination Moorabbin
Damage Substantial

Bell 47 G2, VH-KHL, Bankstown NSW, 11 August 1986

Summary

After landing, the pilot was taxying the aircraft along a marked taxyway between two hangars. Several aircraft were parked in the vicinity, and the pilot taxied at a slightly higher level than normal in order to reduce the effects of downwash. He suddenly noted cables just above eye level, and banked steeply to the left in an effort to avoid a collision. However, the main rotor blades struck and severed the cables, which were a pair of disused Telecom lines strung between the hangars, and both blades then struck the ground. The cables were not marked, and at the point where they crossed the taxyway they were 6.6 metres above the ground.

Occurrence summary

Investigation number 198602344
Occurrence date 11/08/1986
Location Bankstown
Report release date 30/10/1986
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Wirestrike
Occurrence class Accident
Highest injury level None

Aircraft details

Manufacturer Bell Helicopter Co
Model 47
Registration VH-KHL
Sector Helicopter
Operation type Business
Departure point Hoxton Park NSW
Destination Bankstown NSW
Damage Substantial

Bell 206-B, VH-FHB, 9 km North East of Sydney Airport NSW, 5 August 1984

Summary

The pilot brought the helicopter to a hover at 1000 feet agl, pointing approximately into wind. The aircraft began to yaw to the right and the pilot was unable to stop the resulting rotation. The helicopter descended in a steep nose down attitude and struck the ground heavily while still rotating to the right. The landing skids were torn off and the helicopter came to rest on its left side. No mechanical fault or defect was found with the helicopter which might have contributed to the development of the accident. It was considered likely that the aircraft experienced the phenomenon known as "tail rotor breakaway", which results in an uncommanded yaw to the right accompanied by a steep nosedown pitch change. The pilot was aware of the phenomenon, and had read various articles on the subject. However, much of the information available at the time was of a confusing and conflicting nature, and the recovery action employed by the pilot on this occasion was ineffective.

Occurrence summary

Investigation number 198401394
Occurrence date 05/08/1984
Location 9 km North East of Sydney Airport
Report release date 03/09/1986
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Loss of control
Occurrence class Accident
Highest injury level Serious

Aircraft details

Manufacturer Bell Helicopter Co
Model 206
Registration VH-FHB
Sector Helicopter
Operation type Aerial Work
Departure point Channel 10 Helipad,
Destination Channel 10 Helipad, Sydney NSW
Damage Substantial