Safety issue

Safety issue description

Fly Oz's asymmetric training procedure involved failing one engine using the mixture control without confirmation the engine was subsequently restarted, rather than reducing throttle to simulate zero thrust in accordance with the Beechcraft E55 Airplane Flight Manual. This increased the risk of undetected asymmetric operation during descent and landing and the associated loss of control.

Issue number AO-2024-011-SI-01
Issue owner Fly Oz
Transport function Aviation: General aviation
Issue status Closed – Adequately addressed
Date issue released 22/08/2024
Issue status justification

Fly Oz has amended its multi-engine training to simulate engine failures only using throttle (not mixture). Reducing throttle to simulate zero thrust in accordance with the Beechcraft E55 Airplane Flight Manual will reduce the risk of undetected asymmetric operation during descent and landing and the associated loss of control, which addresses the safety issue.

Issue finalisation date 05/07/2024

Safety action

Action type Proactive action
Action number AO-2024-011-PSA-264
Organisation Fly Oz
Action description

Following this accident Fly Oz amended its multi-engine training to simulate engine failures only using throttle at any height.  

ATSB response

The ATSB appreciates safety action taken by Fly Oz. The action to conduct all multi-engine training simulated engine failures using throttle only will reduce the likelihood of undetected asymmetric operation during descent and landing and the associated loss of control.

Action status Closed