Aviation Short Investigation Bulletin

The Aviation Short Investigation Bulletin covers a range of the ATSB’s short investigations and highlights valuable safety lessons for pilots, operators and safety managers.

Released periodically, the Bulletin provides a summary of the less-complex factual investigation reports conducted by the ATSB. The results, based on information supplied by organisations or individuals involved in the occurrence, detail the facts behind the event, as well as any safety actions undertaken. The Bulletin also highlights important Safety Messages for the broader aviation community, drawing on earlier ATSB investigations and research.

Issue 61 of the Bulletin features 10 safety investigations:

Jet aircraft

• Descent below lowest safe altitude involving Boeing 747, N416MC
• Descent below lowest safe altitude involving Boeing 777, 9V-SRP
• Loading related event involving Boeing 737, VH-VUF

Turboprop aircraft

• In-flight smoke in the cockpit involving GIE Avions de Transport Regional ATR72, VH-VPJ
• In-flight engine shutdown involving Bombardier DHC-8, VH-XKI

Piston aircraft

• Fuel starvation involving Cessna 210, VH-HZE
• Runway excursion involving Gippsland Aeronautics GA-8, VH-AZH
• Hard landing involving Cessna 182,VH-JXX

Helicopters

• Collision with water involving Robinson R44, VH-SCM

Remotely Piloted Aircraft

• Collision with terrain involving Yamaha RMAX

The Aviation Short Investigation Bulletin covers a range of the ATSB’s short investigations and highlights valuable safety lessons for pilots, operators and safety managers.

Released periodically, the Bulletin provides a summary of the less-complex factual investigation reports conducted by the ATSB. The results, based on information supplied by organisations or individuals involved in the occurrence, detail the facts behind the event, as well as any safety actions undertaken. The Bulletin also highlights important Safety Messages for the broader aviation community, drawing on earlier ATSB investigations and research.

Issue 62 of the Bulletin features 11 safety investigations:

Turboprop aircraft

• Incorrect configuration involving ATR - Gie Avions De Transport Régional ATR72, VH-FVL
• Smoke in the cockpit involving Bombardier DHC-8-315, VH-TQH

Piston aircraft

• Collision with vehicle during approach involving Piper PA-31, VH-JQS
• Engine failure and fire on ground involving Gippsland Aeronautics GA-8, VH-AJZ
• Runway operations with hookcable raised involving Cessna 310, VH-COQ
• Partial engine failure involving Cessna 210, VH-EGB
• Fuel exhaustion and forced landing involving Beech 58, VH-PBU

Helicopters

• Collision with terrain involving Agusta AB206, VH-DPU
• Collision with terrain involving Robinson R44, VH-MNU
• Forced landing involving Robinson Helicopter R44, VH-MQE

Separation issue

• Proximity event involving Bell 407, VH-VHU and Piper PA-31, VH-FDQ

The Aviation Short Investigation Bulletin covers a range of the ATSB’s short investigations and highlights valuable safety lessons for pilots, operators and safety managers.

Released periodically, the Bulletin provides a summary of the less-complex factual investigation reports conducted by the ATSB. The results, based on information supplied by organisations or individuals involved in the occurrence, detail the facts behind the event, as well as any safety actions undertaken. The Bulletin also highlights important Safety Messages for the broader aviation community, drawing on earlier ATSB investigations and research.

Issue 60 of the Bulletin features 10 safety investigations:

Jet aircraft

• Pre-flight preparation event involving Airbus A320, VH-VNC
• Landing on the left side of the runway strip involving British Aerospace AVRO 146, VH‑NJW
• Aircraft loading, event involving Fokker F28, VH-NHZ
• Aircraft loading event involving Fokker F28, VH-NHV

Turboprop aircraft

• Flight control system event involving an Embraer 120, VH-YEI

Piston aircraft

• Collision with terrain involving de Havilland Canada DHC-2, VH-AWD

Helicopters

• Main rotor anti-flap stop failure involving Sikorsky S-92, VH-ZUQ

Separation issues

• Taxiing collision involving Boeing 737s, VH-YFT and VH-VUP
• Near collision on ground involving Jetstar Airways Airbus A320, VH-VGJ and a dispatcher
• Landing on an occupied runway involving Beech Aircraft Corporation B200, VH-ZOK

The Aviation Short Investigation Bulletin covers a range of the ATSB’s short investigations and highlights valuable safety lessons for pilots, operators and safety managers.

Released periodically, the Bulletin provides a summary of the less-complex factual investigation reports conducted by the ATSB. The results, based on information supplied by organisations or individuals involved in the occurrence, detail the facts behind the event, as well as any safety actions undertaken. The Bulletin also highlights important Safety Messages for the broader aviation community, drawing on earlier ATSB investigations and research.

Issue 58 of the Bulletin features 10 safety investigations:

Jet aircraft

• Severe turbulence involving Airbus A330, B-5921
• Loading related event involving Airbus A320, VH-VQC
• Runway incursion involving Fokker F28 MK 100, and vehicle 

Turboprop aircraft

• Fumes event involving Bombardier DHC 8, VH SBB
• Near collision involving Hawker Beechcraft Corporation B300C, VH-NAO, and a work safety officer
• Runway undershoot involving Fairchild SA226, VH-SSV

Helicopters

• Tail rotor driveshaft failure involving Bell 206, VH-CHO

Separation issues

• Separation issue involving Bombardier DHC-8, VH-QOV, and Eurocopter MBB-BK 117, VH-EHQ
• Loss of separation involving Bombardier DHC-8, VH-LQG, and Boeing 777, ZK-OKF

Communication issues

• Unlawful communications

The Aviation Short Investigation Bulletin covers a range of the ATSB’s short investigations and highlights valuable safety lessons for pilots, operators and safety managers.

Released periodically, the Bulletin provides a summary of the less-complex factual investigation reports conducted by the ATSB. The results, based on information supplied by organisations or individuals involved in the occurrence, detail the facts behind the event, as well as any safety actions undertaken. The Bulletin also highlights important Safety Messages for the broader aviation community, drawing on earlier ATSB investigations and research.

Issue 56 of the Bulletin features ten safety investigations:

Jet aircraft

• Engine malfunction and in-flight shutdown involving Boeing 777, A6-EGA
• Take-offs without runway lighting involving Embraer ERJ-135, VH-JTG

Turboprop aircraft

• Synthetic vision display error involving Pilatus PC-12, VH-OWA 
• Severe turbulence involving Bombardier DHC-8, VH-LQM            

Piston aircraft

• Wheels up landing involving Cessna 210, VH-UPN           
• Engine failure and collision with terrain involving Ryan Aeronautical Company STA-SPL, VH-SQD     

Separation issues

• Taxiing collision involving Boeing 717, VH-NXN, and Fokker 100, VH-NHF
• Aircraft separation issues involving Embraer ERJ 190, VH-ZPJ, and GippsAero GA-8, VH-XGA             
• Near collision involving Cessna 172S, VH-USL, and parachutists  

Remotely Piloted Aircraft

• Loss of control involving remotely piloted aircraft Pulse Aerospace Vapor 55

The Aviation Short Investigation Bulletin covers a range of the ATSB’s short investigations and highlights valuable safety lessons for pilots, operators and safety managers.

Released periodically, the Bulletin provides a summary of the less-complex factual investigation reports conducted by the ATSB. The results, based on information supplied by organisations or individuals involved in the occurrence, detail the facts behind the event, as well as any safety actions undertaken. The Bulletin also highlights important Safety Messages for the broader aviation community, drawing on earlier ATSB investigations and research.

Issue 57 of the Bulletin features ten safety investigations:

Jet aircraft

• Taxiing incident involving Airbus A330, 9M-XXK
• Emergency evacuation involving Fokker F28, VH-NHY

Turboprop aircraft

• Engine failure involving Fairchild SA227, VH-VEU
• Misaligned take-off involving Beechcraft B200, VH-XGV
• Engine failure and forced landing involving Cessna 208, VH-TYV

Piston aircraft

• Forced landing involving Cessna 188, VH-BCT

Helicopters

• Collision with terrain involving Robinson R44, VH-YMJ
• Ground strike involving Robinson R44, VH-HHZ

Separation Issues

• Near collision involving Pilatus BN2, VH-IOA, and Bombardier DHC-8, VH-ZZJ

Remotely Piloted Aircraft

• Collision with terrain involving Lockheed Martin Stalker XE UAS

The Aviation Short Investigation Bulletin covers a range of the ATSB’s short investigations and highlights valuable safety lessons for pilots, operators and safety managers.

Released periodically, the Bulletin provides a summary of the less-complex factual investigation reports conducted by the ATSB. The results, based on information supplied by organisations or individuals involved in the occurrence, detail the facts behind the event, as well as any safety actions undertaken. The Bulletin also highlights important Safety Messages for the broader aviation community, drawing on earlier ATSB investigations and research.

Issue 55 of the Bulletin features ten safety investigations:

Jet aircraft

• Engine shut down involving Boeing 787, VH-VKK
• Hydraulic leak involving Boeing 787, 9V-OFG
• Loading event involving Airbus A320, VH-VFN

Turboprop Aircraft

• Loading event involving Avions de Transport Régional ATR42, VH-TOX
• Depressurisation event involving de Havilland DHC‑8, VH‑XFP
• Wirestrike involving Cessna 441, VH-NAX

Piston Aircraft

• Wheels up landing involving Piper PA31, VH-ETW
• Engine failure and forced landing involving Jabiru SP500, 19-5503

Helicopter

• Collision with terrain during mustering involving Robinson R22, VH‑PFX

Near Collision

• Near collision involving Cessna 210, VH-SQT, and Gippsland Aeronautics GA8, VH-KNB

The Aviation Short Investigation Bulletin covers a range of the ATSB’s short investigations and highlights valuable safety lessons for pilots, operators and safety managers.

Released periodically, the Bulletin provides a summary of the less-complex factual investigation reports conducted by the ATSB. The results, based on information supplied by organisations or individuals involved in the occurrence, detail the facts behind the event, as well as any safety actions undertaken. The Bulletin also highlights important Safety Messages for the broader aviation community, drawing on earlier ATSB investigations and research.

Issue 54 of the Bulletin features ten safety investigations:

Jet aircraft

• Aircraft preparation event involving Airbus A330, VH-QPC
• Loss of separation due to runway incursion involving Airbus A320, VH-VGI, and Fokker F50, VH-FKV

Turboprop aircraft

• Loading event involving Embraer EMB-120, VH-ANQ
• In-flight engine shutdown involving Saab 340, VH-ZRJ
• Runway collision with arrestor cable involving Raytheon B200, VH-ZCJ

Piston aircraft

• Propeller failure involving de Havilland DH-82, VH-ARU
• Engine failure and collision with terrain involving Van's RV-9A, VH-KLV

Helicopters

• Sling load incident involving Aerospatiale Industries AS350, VH‑BII

Separation Issues

• Near collision due to runway incursion involving Van’s RV-7, VH-VTZ, and Glaser-Dirks DG-400 motor-glider, VH-XJZ
• Separation issue involving Robinson R44, VH-EYD, and Cessna 152, VH-MRC

The Aviation Short Investigation Bulletin covers a range of the ATSB’s short investigations and highlights valuable safety lessons for pilots, operators and safety managers.

Released periodically, the Bulletin provides a summary of the less-complex factual investigation reports conducted by the ATSB. The results, based on information supplied by organisations or individuals involved in the occurrence, detail the facts behind the event, as well as any safety actions undertaken. The Bulletin also highlights important Safety Messages for the broader aviation community, drawing on earlier ATSB investigations and research.

Issue 51 of the Bulletin features ten safety investigations:

• Near collision involving SAAB 340, VH-ZLA, and Glaser-Dirks DG-800B glider, VH-IGC
• Near collision between Schempp-Hirth Janus glider, VH-GWQ, and Rolladen-Schneider LS3-A glider, VH‑CQP
• Near collision involving Glaser-Dirks DG-1000 glider, VH-NDQ, and Jabiru J170, 24-7750
• Near collision involving Pacific Aerospace CT4, VH-YCO, and Piper PA-28, VH-WJZ
• Near collision involving Piper PA-28, VH-BYE, and Cessna 152, VH-CRP
• Near collision involving Morgan Cheetah, 19-5456, and Grob G115, VH-ZTA
• Near collision involving Robinson R22, VH-MFH, and Lancair, VH-XCG
• Near collision involving Cessna 177, VH-OOJ, and Cessna 172, VH-VSO
• Near collision involving Robinson R22, VH‑JKH, and Cessna 182, VH‑YKM
• Near collision involving Piper PA-32, VH-NKA, and Cessna 210, VH-SQT

The Aviation Short Investigation Bulletin covers a range of the ATSB’s short investigations and highlights valuable safety lessons for pilots, operators and safety managers.

Released periodically, the Bulletin provides a summary of the less-complex factual investigation reports conducted by the ATSB. The results, based on information supplied by organisations or individuals involved in the occurrence, detail the facts behind the event, as well as any safety actions undertaken. The Bulletin also highlights important Safety Messages for the broader aviation community, drawing on earlier ATSB investigations and research.

Issue 53 of the Bulletin features ten safety investigations:

Turboprop aircraft

• Pilot incapacitation involving Cessna 208, VH-NTQ
• Runway incursion involving Fairchild SA227, VH-HPE

Piston aircraft

• Flap cable failure and ground strike involving Airparts NZ FU-24, VH-TTD
• Engine power loss and forced landing involving Piper PA-28, VH-TAK
• Low fuel and precautionary landing involving Cessna 172, VH-WKB
• Wheels up landing involving Beech 58, VH-UZO
• Separation issue due to runway incursion involving Cessna 172, VH-EKV, and Beech 58, VH-MLB
• Separation issue due to runway incursion involving Gippsland Aeronautics GA-8, VH-BFL, and Cessna 210, VH-NLV

Helicopters

• Wirestrike involving Robinson R22, VH-HRL

Hot Air Balloons

• Hard landing involving Kavanagh Balloons E-300, VH-LPG