Mitsubishi MU2B-30, VH-CJP, Cairns QLD, 15 November 1983

Summary

The aircraft was established on final by the pilot under check. A 5 knot downwind component prevailed. The flare was commenced higher than is normal and the airspeed decreased below the optimum. The pilot did not react to prompting by the the check-pilot but, at about 20 feet, retarded the throttles. The aircraft struck the runway heavily in a left wing low attitude and the left main and nose landing gear was torn off. Command responsibility for the flight was not discussed and the check-pilot was under the misapprehension that his role was only that of safety-pilot. Due to flight rescheduling, the pilot under check slept for only two and a half hours prior to commencing duty. The auto-pilot was unserviceable and the pilot under check flew the aircraft by hand for most of the four flight legs. During the last leg the check-pilot twice simulated an engine failure. The second failure was simulated on final approach at about 7 DME. Power was reinstated shortly afterwards and the approach continued normally until close to the threshold. At this time the pilot under check had been on duty for five and a half hours and the check-pilot for over twelve hours. Overseas research has shown that subtle errors in visual perception may be induced by an event which causes stress, and that this condition may persist for several minutes after the event. Fatigue may aggravate the problem. The errors in perception are the result of changes in focal length of the lens of the eye caused by the physiological effects of the stress resulting from the event. The experimental research and information from accident data has provided evidence that the effect of the changes in focal length may cause a pilot on final approach to perceive a runway to be on a higher plane than it actually is. In this case, with the particular combination of factors prevailing at the time, it is possible that the imposition of a simulated engine failure on approach within a few minutes prior to the final landing of a long and fatiguing night's operations caused a stress reaction in the pilot under check. The level of stress induced in this fatigued pilot may have been sufficient to cause the kind of perceptual error described above. The runway would thus appear to the pilot slightly higher than it actually was. His judgement of flare height, being based on this false perception, would therefore be incorrect.

Occurrence summary

Investigation number 198300070
Occurrence date 15/11/1983
Location Cairns
Report release date 16/04/1985
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 None

Aircraft details

Manufacturer Mitsubishi Aircraft Int
Model MU-2
Registration VH-CJP
Operation type Charter
Departure point Townsville QLD
Destination Cairns QLD
Damage Substantial

Glasfugel Mosquito, VH-GML, 45 km E Corryong NSW, 2 November 1987

Summary

After about four hours flying, the pilot decided to return to Corryong to land. Because the aircraft was too low he tracked towards a valley in an attempt to find lift. The attempt was unsuccessful and the pilot selected a sloping area on which to carry out an outlanding. Shortly after touchdown one wing struck a small bush and the aircraft groundlooped. The pilot was inexperienced in mountain soaring. He had been operating in the vicinity of a suitable landing area, but left this area with insufficient altitude available to glide to the next suitable landing area.

Occurrence summary

Investigation number 198702435
Occurrence date 02/11/1987
Location 45 km E Corryong
Report release date 11/03/1988
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Occurrence class Accident
Highest injury level None

Aircraft details

Manufacturer Glasflugel
Model 303
Registration VH-GML
Serial number 8
Operation type Gliding
Departure point Corryong NSW
Destination Corryong NSW
Damage Substantial

De Havilland DHC 2, VH-AAY, 30 km East of Walcha NSW, 22 December 1986

Summary

Superphosphate spreading was being carried out, with the aircraft uplifting one tonne loads about every 6 minutes. Fuel endurance with both tanks full was approximately 2 hours. The pilot was conducting his 25th takeoff for the day, about one hour after refuelling. Witnesses observed that the aircraft did not become airborne at the usual point, two-thirds of the way along the 675 metre strip. Lift-off finally occurred at the end of the strip, but almost immediately afterwards the aircraft clipped a fence. It was seen to sink slightly, before climbing at a steeper than normal angle until some 250 metres beyond the fence. At this point the nose dropped suddenly and the aircraft dived into rising ground in a steep nosedown attitude. Fire broke out on impact and consumed much of the wreckage. Preliminary investigation revealed that the fuel selector was in the "off" position. This had been the first occasion that the pilot had flown this particular aircraft. The fuel selector in this aircraft was different to that in the other Beaver the pilot had operated. In the previous aircraft, rotating the fuel selector through 180 degrees anti-clockwise changed the selection from the rear to the forward fuel tanks. In the accident aircraft, a similar movement of the selector changed the selection from the rear tank to the "off" position. This difference had not been brought to the pilot's attention, and it was possible that he had not thoroughly familiarised himself with the aircraft prior to commencing operations. It was considered likely that the takeoff had been commenced with the fuel selector positioned to the almost empty rear tank. During the takeoff roll, the fuel low quantity bell and associated light had activated, and the pilot had changed the fuel selector by feel, while continuing with the takeoff. With the fuel supply turned off, the engine had failed from fuel starvation, and the aircraft had subsequently stalled at too low a height above the ground to permit recovery before impact.

Occurrence summary

Investigation number 198602365
Occurrence date 22/12/1986
Location 30 km East of Walcha
Report release date 05/06/1987
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Occurrence class Accident
Highest injury level Fatal

Aircraft details

Manufacturer De Havilland Canada/De Havilland Aircraft of Canada
Model DHC-2
Registration VH-AAY
Operation type Aerial Work
Departure point "Winterbourne" NSW
Destination "Winterbourne" NSW
Damage Destroyed

Hughes 369-HS/500C, N9215, Trinity Inlet, Cairns Harbour, QLD., 15 December 1984

Summary

The helicopter, on a sightseeing flight, had completed a circuit of Cairns Harbour before climbing-out towards Green Island. A noise was heard from the rear of the helicopter, accompanied by a rotation to the right. An autorotation was initiated and the helicopter landed on the nearby mudflats. The right skid-legs collapsed on touchdown, which resulted in the helicopter rolling onto its right side. The occupants evacuated and were rescued by a fishing boat. The tail rotor and part of its associated gearbox had separated from the helicopter. The pilot regained directional control when an autorotation was commenced. However,as the helicopter was over water he attempted to carry out a zero forward speed landing, rather than a "run on" type which is the procedure recommended by the manufacturer when loss of tail rotor effectiveness occurs. Thus, when collective pitch was applied to reduce the rate of descent prior to landing, the helicopter again commenced to rotate and touchdown occurred whilst turning to the right. The components which had become detached in flight were not recovered, thus the reason for the failure of the assembly could not be positively determined. However, specialist examinations indicated that the fracture was due to a limited number of high stress cycles, this is not consistent with normal in service loads.

Occurrence summary

Investigation number 198400054
Occurrence date 15/12/1984
Location Trinity Inlet, Cairns Harbour, QLD.
Report release date 04/06/1986
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Occurrence class Accident
Highest injury level None

Aircraft details

Manufacturer Hughes Helicopters
Model 369
Registration N9215F
Sector Helicopter
Operation type Private
Departure point M.V. "Carol Linda" berthed Cairns Harbour, QLD.
Destination Green Island, 27 km NE Cairns, QLD.
Damage Substantial

Partenavia P68C-TC, VH-TCU, Noorinbee, 55km ENE of Orbost VIC, 3 March 1986

Summary

The pilot was preparing to depart from a strip which was only marginally longer than the minimum length required. He reported that when take-off power was applied, an overboost warning light illuminated. Although a considerable power reduction was required on the right engine before the light extinguished, the pilot continued with the take-off attempt. He advanced the right throttle to match the position of the left lever, but as the aircraft became airborne it struck the boundary fence and the left mainwheel was dislodged. The pilot elected to return for a landing at the strip. During the landing roll, the left gear leg collapsed and the aircraft ran off the side of the strip. No fault was subsequently found with the engines and associated systems of the aircraft. The overboost warning light system fitted to the aircraft type is characterised by a significant lag during power reduction. The normal method of re-setting power under these circumstances is by reference to the manifold pressure gauges. Although the strip was marginal for the intended operation, the engines were not advanced to a high power setting before the brakes were released.

Occurrence summary

Investigation number 198601410
Occurrence date 03/03/1986
Location Noorinbee, 55km ENE of Orbost
Report release date 13/06/1986
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Occurrence class Accident
Highest injury level None

Aircraft details

Manufacturer Partenavia Costruzioni Aeronautiche S.p.A
Model P.68
Registration VH-TCU
Operation type Aerial Work
Departure point Noorinbee VIC
Destination Mallacoota VIC
Damage Substantial

Beech King Air 200, VH-MSZ, Tibooburra NSW, 15 April 1987

Summary

The pilot was making a night landing approach. Late in the flare a thump was heard, and shortly after touchdown the nosegear collapsed. The aircraft came to rest on the strip 390 metres further on. It was discovered that a large kangaroo had struck the nosegear, and that a number of other kangaroos were in the immediate vicinity.

Occurrence summary

Investigation number 198702401
Occurrence date 15/04/1987
Location Tibooburra
Report release date 10/07/1987
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Animal strike
Occurrence class Accident
Highest injury level None

Aircraft details

Manufacturer Beech Aircraft Corp
Model 200
Registration VH-MSZ
Operation type Aerial Work
Departure point Broken Hill NSW
Destination Tibooburra NSW
Damage Substantial

Air Tractor AT 301, VH-FRP, Collymongle (18 km NE Collarenebri) NSW, 19 November 1986

Summary

The pilot was performing a take-off in crosswind conditions of about 15 knots. When the aircraft had reached a speed of about 40 knots it suddenly veered to the left, and despite corrective action the pilot was unable to maintain directional control. With full power still applied, the aircraft ran off the side of the strip. It then passed over an embankment, and travelled a further 200 metres before colliding with trees which were some 60 metres from the edge of the strip. The initial loss of directional control was associated with a wind gust in excess of the maximum for the capabilities of the aircraft. The pilot had persisted with the take-off attempt after the aircraft ran off the strip, because he considered that to have reduced power would have caused the aircraft to ground loop. He had endeavoured to dump the load, but had initially inadvertently applied the spray handle. As a result, only about 10 of the load had been dumped before the collision with the trees.

Occurrence summary

Investigation number 198602359
Occurrence date 19/11/1986
Location Collymongle (18 km NE Collarenebri)
Report release date 29/01/1987
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 None

Aircraft details

Manufacturer Air Tractor Inc
Model AT301
Registration VH-FRP
Operation type Aerial Work
Departure point Collymongle NSW
Destination Collymongle NSW
Damage Substantial

Pitts S1-E Special, VH-SIS, 3km ESE of Gatton QLD, 1 March 1986

Summary

The pilot had been practicing low level aerobatics near a road junction. There had been a fatal car accident at the intersection and the pilot had been requested to terminate the exercise. The pilot decided to land the aircraft on a nearby strip. An approach was carried out with a quartering tailwind. Two witness on the ground who observed the approach and landing, stated that after touch down the aircraft bounced and began to drift sideways. They observed that the aircraft touched down again while still drifting, nosed over and came to rest inverted, 80 metres prior to the airfield boundry fence. The strip chosen by the pilot was not suitable for the operation of his aircraft. The first touchdown occurred well down the length of the strip and a go-around was not attempted.

Occurrence summary

Investigation number 198602647
Occurrence date 01/03/1986
Location 3km ESE of Gatton
Report release date 09/02/1987
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 None

Aircraft details

Manufacturer Pitts Aviation Enterprises
Model S-1
Registration VH-SIS
Operation type Private
Departure point Gatton Agricultural College QLD
Destination 3km ESE of Gatton QLD
Damage Substantial

Beech 95-B55 Baron, VH-EHN, Bankstown NSW, 17 December 1985

Summary

On arrival in the destination area the pilot was unable to obtain a down and locked indication for the landing gear. An inspection from another aircraft indicated that the left gear was only partially extended and the pilot elected to divert to Bankstown. All further efforts to lower the gear fully by normal or emergency means were unsuccessful, and the gear ultimately jammed in the mid-position. A safe landing was subsequently made, with the aircraft touching down on a grass undershoot area and sliding to a stop on the selected runway. The pilot had been unable to extend the gear electrically because of a rigging fault in the nosegear mechanism. Manual extension had not been possible because of chipped edges on the tooth and slot of the hand cranking mechanism. The damage to the tooth and slot was considered to have resulted from some previous occasion, when the manual handle had inadvertently been left engaged during electrical operation of the gear. The crank handle, rotating at high speed, had probably come into contact with an object on the cabin floor.

Occurrence summary

Investigation number 198502573
Occurrence date 17/12/1985
Location Bankstown
Report release date 09/02/1987
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 95
Registration VH-EHN
Operation type Charter
Departure point Moruya NSW
Destination Nowra NSW
Damage Substantial

Maxair Drifter 503, Not Registered, Hungerford QLD, 3 June 1987

Summary

The pilot had flown the aircraft to Hungerford to attend a Field Day. The following morning he adjusted the aircraft brakes and apparently decided to take the aircraft for a test flight. After taking off from the local racecourse, the aircraft climbed to about 150 feet above the ground before descending to fly just above the tops of the trees. The flight continued at this altitude until the aircraft struck a single wire power line and spun to the ground. The pilot had discussed the presence of the wire with the owner of the aircraft prior to taking off. However, the wire was of small gauge and not easily discernible from the air.

Occurrence summary

Investigation number 198703530
Occurrence date 03/06/1987
Location Hungerford
Report release date 02/12/1987
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Wirestrike
Occurrence class Accident
Highest injury level Fatal

Aircraft details

Manufacturer Unknown
Model Maxair Drifter 503
Registration Not registered
Serial number N/K
Operation type Sports Aviation
Departure point Hungerford QLD
Destination Hungerford QLD
Damage Substantial