Aviation safety investigations & reports

Collision with terrain, involving a Cessna U206G, VH-JVR 124 km west of Norseman, Western Australia, on 3 March 2022

Investigation number:
AO-2022-011
Status: Active
Investigation in progress

Prelim

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This preliminary report details factual information established in the investigation’s early evidence collection phase, and has been prepared to provide timely information to the industry and public. Preliminary reports contain no analysis or findings, which will be detailed in the investigation’s final report. The information contained in this preliminary report is released in accordance with section 25 of the Transport Safety Investigation Act 2003.

The occurrence

On 3 March 2022, a Cessna U206G, registered VH-JVR, was being operated by MAGSPEC Aviation for low-level, geophysical survey flights to the west of Norseman, Western Australia.

At about 1200 WST,[1] the aircraft departed Kalgoorlie, Western Australia, for the survey block about 120 km west of Norseman. The pilot was the sole occupant on board the aircraft.

Weather conditions in the survey area were fine with light southerly winds. Earlier in the morning, another company pilot had flown the aircraft on a survey flight. That pilot had conducted a confirmatory reconnaissance flight, noting no major obstacles or issues other than a few taller trees. This information was passed to the pilot of the accident flight before they departed.

The survey lines were parallel to each other at 25 m spacing in an east-west orientation. The survey lines were to be flown at a height of 25 m (82 ft) above ground level (AGL).

The pilot commenced the first survey line at about 1252. At 1343, the GPS tracking device recorded the aircraft was on a westerly heading at a speed of 116 kt and a height of 1,398 ft (GPS height).[2] This was the last position recorded and the height was consistent with the intended survey height above ground level.

The aircraft did not return to Kalgoorlie by the pilot’s nominated estimated time of arrival of 1630, and the operator commenced its emergency response. The operator had another aircraft and pilot at Norseman, which was dispatched to VH-JVR’s last known position; however, that pilot was not able to locate the aircraft.

The Joint Rescue Coordination Centre (JRCC) initiated a search operation after it was advised by the operator at 1700 that the aircraft was overdue. A search aircraft located the aircraft wreckage at 1852, approximately 3.6 km west of its last recorded position (Figure 1). That aircraft’s crew were not able to establish communications with the pilot of the accident flight. The JRCC also deployed a rescue helicopter to the site, and its crew confirmed that the pilot had been fatally injured.

Figure 1: VH-JVR's accident site and last recorded position

Source: Recorded flight path data and Google Earth, annotated by the ATSB

Context

Pilot information

The pilot held a valid commercial pilot licence (aeroplane) with a multi-engine command instrument and low-level ratings. Their last flight review was completed in June 2021 and their class 1 medical was valid until June 2022.  The pilot had held a low-level rating since June 2021 and had completed the operator’s low-level survey training in July 2021.

The pilot had previously worked as a flight instructor and high-level survey pilot. At the time of the accident, the pilot had about 1,772 hours total, of which about 557 hours was with the operator.

Aircraft information

General

VH-JVR was a Cessna U206G Stationair, which was a single-engine, fixed landing gear aeroplane powered by a Continental IO-520-F piston engine (Figure 2). It was manufactured in 1978 with serial number U20604795 and was first registered in Australia in 1998. Its last periodic inspection was in March 2022 and it had accrued almost 8,000 hours total time in service.

Modifications

VH-JVR had been modified to conduct geophysical survey flights. A magnetometer boom was installed at the rear of the aircraft and associated survey equipment was in the rear cabin. The survey equipment had its own separate power supply. The aircraft also had a GPS tracking device.

The aircraft had also been modified with a fuel selector valve from a C210, which enabled the selection of both fuels tanks to supply the engine at same time.

Figure 2: VH-JVR

Source: Jarrod Swanwick (via www.jetphotos.com), modified by the ATSB

Site information

The aircraft was located in dense bushland 124 km west of Norseman. Access to the site was difficult with the nearest vehicle-accessible track only reaching to within 4 km of the accident site. An additional track was cleared through bushland to enable vehicle access to the accident site.

Damage at the point of impact indicated that the aircraft initially struck trees in an upright but relatively steep nose-down attitude. The impact caused the left wingtip and aileron to separate from the aircraft. The aircraft then impacted the ground on its left side and continued through the bush in a southerly direction, coming to rest about 45 m from the initial point of impact (Figure 3).

The aircraft felled a number of trees and several parts had separated from the main body, including the nose gear assembly, left main gear, left door, windscreen and sections of the lower engine cowling and lower engine components (Figure 4). There was no indication of fire in the wreckage trail, either in the bushland or aircraft components. However, the remainder of the aircraft was almost entirely destroyed by a post-impact fire. The propeller had separated from the engine and was located towards the rear of the wreckage and the engine had been detached from its mounts. The right wing was relatively intact as was the magnetometer boom, albeit damaged by fire (Figure 5).

Figure 3: Wreckage trail looking south towards the main wreckage

Source: ATSB

Figure 4: Wreckage trail looking north towards the impact area

Source: ATSB

Figure 5: Main wreckage

Source: ATSB

Wreckage examination

The wreckage was examined on-site and to the extent possible (given the post-impact fire). The following observations were made:

  • all components of the aircraft were accounted for at the site
  • there were no indications of pre-impact structural failures
  • flight control continuity was established
  • propeller damage and propeller strike marks observed in the trees were indicative of the engine producing power at the time of impact
  • there were no indications of pre-impact damage or defects to the engine
  • the flaps were fully retracted (although only the right wing was able to be examined due to fire damage)
  • there was no indication of a pre-impact, inflight fire (although the extent that this was able to be verified was limited due to the post-impact fire).

Further investigation

To date, the ATSB has:

  • examined the wreckage
  • recovered aircraft components and other items for further analysis
  • interviewed relevant parties
  • collected aircraft and operator documentation
  • collected the pilot’s records.

The investigation is continuing and will include:

  • further review of aircraft and operator documentation
  • further review of the pilot’s records
  • further review and examination of aircraft components and other items recovered from the accident site
  • further analysis of flight path information from the aircraft’s GPS tracking device
  • review of the risk controls in place for low-level survey work.

Should a critical safety issue be identified during the course of the investigation, the ATSB will immediately notify relevant parties so appropriate and timely safety action can be taken.

A final report will be released at the conclusion of the investigation.

Acknowledgements

The ATSB would like to acknowledge the significant assistance provided by the Western Australia Police Force and Poseidon Nickel Ltd during the onsite investigation phase.

__________

  1. Western Standard Time (WST) was Universal Coordinated Time (UTC) + 8 hours.
  2. Data points were recorded every 15 seconds and uploaded once per minute.
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Summary

The Australian Transport Safety Bureau (ATSB) is investigating a collision with terrain, involving a Cessna U206G registered VH-JVR, 124 km west of Norseman, Western Australia, on 3 March 2022

The aircraft was conducting aerial survey work to the west of Norseman. It was later reported as being overdue, and the Joint Rescue Coordination Centre subsequently commenced a search in the last known area of operation. Later that evening the burnt wreckage of VH-JVR was located by a search and rescue aircraft. Western Australia Police later confirmed that the pilot, who was the sole person on board, was fatally injured.

As part of the investigation, ATSB investigators will examine any recovered physical components and any relevant maintenance and operational documentation and any other relevant information. 

A final report will be released at the conclusion of the investigation. However, should a critical safety issue be identified during the course of the investigation, the ATSB will immediately notify relevant parties so appropriate safety action can be taken.

General details
Date: 03 March 2022   Investigation status: Active  
Time: 1343 WST   Investigation level: Short - click for an explanation of investigation levels  
Location   (show map): 124 km west of Norseman   Investigation phase: Examination and analysis  
State: Western Australia   Occurrence type: Collision with terrain  
Release date: 26 May 2022   Occurrence category: Accident  
Report status: Preliminary   Highest injury level: Fatal  
Anticipated completion: 1st Quarter 2023    

Aircraft details

Aircraft details
Aircraft manufacturer Cessna Aircraft Company  
Aircraft model U206G  
Aircraft registration VH-JVR  
Serial number U20604795  
Operator MAGSPEC Aviation Pty Ltd  
Type of operation Aerial Work  
Sector Piston  
Damage to aircraft Destroyed  
Departure point Kalgoorlie-Boulder Aerodrome, Western Australia  
Destination Kalgoorlie-Boulder Aerodrome, Western Australia  
Last update 21 June 2022