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 52 of the Bulletin features ten safety investigations:

Jet Aircraft

• Depressurisation involving Fokker F28, VH-NHF
• Incorrect configuration involving Boeing 717, VH-YQV
• Personal electronic device fire in-flight involving Boeing 747, VH-OJS

Piston Aircraft

• VFR into IMC involving Cessna 172, VH-EOV
• Fuel Starvation involving Lancair ES, VH-DFH
• Engine failure involving Piper PA-28, VH-IPO
• Precautionary landing involving Cessna 150, VH-TDZ, and Cessna 152, VH-KTL

Helicopters

• Controlled flight into terrain involving Agusta A109, VH-XPB
• Wirestrike and collision with terrain involving Schweizer 269C, VH-NTZ

Hot Air Balloons

• Fire prior to passenger disembarkation involving Kavanagh Balloons, B-400, VH-WNV

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 50 of the Bulletin features ten safety investigations:

Jet Aircraft

• Smoke and fumes event involving Boeing 787, N36962
• Smoke event involving Airbus A380, VH-OQD

Turboprop Aircraft

• Runway incursion involving Hawker Beechcraft Corporation B200, VH-FDG, and vehicle

Piston Aircraft

• Hard landing involving Maule MT-7, VH-DRS
• Loss of control and collision with terrain involving Cessna 206, VH-NTK
• Collision with terrain involving de Havilland DH-82, VH-BJE
• Collision on ground involving Cessna 172, VH-EWZ, and Cessna 172, VH-SYH

Helicopters

• Loss of control involving Robinson R22, VH-WGB

Hot Air Balloon

• Navigation event involving Kavanagh Balloons E-240, VH-VBM

Near Collision

• Near collision involving Piper PA-28, VH-MJT, and Airbus Helicopters EC 130, VH-ZVO

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 49 of the Bulletin features ten safety investigations:

Jet aircraft

• Fumes event involving Airbus A320, VH-VNO

Turboprop aircraft

• Flight below minimum permitted altitude involving Cessna 441, VH-EQU
• Near collision between Fairchild SA227, VH-MYI and Cessna 150, VH-RZP
• Engine fire involving Fairchild SA227, VH-UZI

Piston aircraft

• Engine failure involving Jabiru J430, VH-SZQ
• Birdstrike involving Glasair Sportsman GS-2, N666GM
• Engine malfunction and collision with terrain involving Piper PA-23, VH-BIQ
• Loss of control and collision with terrain involving Cessna 182S, VH-PCO
• VFR into IMC involving Piper PA-28, VH-BDB

Helicopters

• Collision with terrain involving Robinson R22, VH-RGY

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 48 of the Bulletin features ten safety investigations:

Turboprop aircraft

• Engine malfunction involving Cessna 208B, VH‑LNH
• Flap system failure leading to loss of control involving Cessna 208, VH-WZJ
• Near collision involving Cessna 210L, VH-TCI, and Cessna 208, VH-PGA

Piston aircraft

• Landing accident involving Cessna 180C, VH‑FDH
• Wheels up landing, involving a Nanchang CJ-6, VH-ALO
• Incorrect configuration resulting in a collision with terrain involving Cessna R182, VH-PFZ

Helicopters

• Foreign object damage involving an Eurocopter AS365 N3 Dauphin, VH-WPX
• Collision with terrain involving a Robinson R22, VH-HWJ
• Wirestrike and collision with terrain involving Robinson R22, VH-LYW

Hot Air Balloons

• Wirestrike involving Kavanagh G 450 balloon, VH-RUW

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 47 of the Bulletin features ten safety investigations:

Turboprop aircraft

• Collision with a vehicle, involving an Air Tractor AT-502B, VH‑FNX
• Collision with a pole involving an Air Tractor AT-502B, VH-PTF
• Flight crew incapacitation involving a SOCATA TBM 700, VH-YZZ

Piston aircraft

• Collision with coral reef involving a de Havilland Canada DHC-2, VH-AWI
• VFR into IMC involving a Piper PA28 aircraft, VH-TAU
• Low fuel event involving a Piper PA‑31P, VH-OGW

Helicopters

• Tail rotor strike of slung load involving a Eurocopter AS 350, VH‑NPS
• Wirestrike and collision with terrain involving a Robinson R44, VH-HXY

Separation issues

• Separation issue involving a de Havilland DH-82A (Tiger Moth), VH‑BJE and a Robinson R44, VH‑HOQ
• Separation issue between a Kavanagh Balloons E-300, VH-LPG, and freight train 4K26

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 45 of the Bulletin features 10 safety investigations:

Jet aircraft

• Stickshaker activation involving a Boeing 717 200, VH-NXM
• Loading event involving an Airbus A330, VH-QPJ

Turboprop aircraft

• Collisions with kangaroos involving a Fairchild SA227 (Metroliner), VH- HPE, and a King Air B200, VH-FDB

Piston aircraft

• Near collision between an Extra 300L, VH-KCF and a Robinson 44, VH-OLG
• Near collision involving a Cessna 172, VH-EOT, and a Jabiru J120, 24 5340
• Collision with terrain involving a Cirrus SR22, VH-OPX
• Partial power loss and forced landing involving a Cessna 172, VH-FPZ

Helicopters

• Near collision involving a Schweizer 269, VH-JXO, and a Military Lockheed AP-3C
• Loss of control involving a Robinson R44 helicopter, VH-ZWA

Remotely piloted aircraft systems

• In-flight break-up involving a DJI S900 remotely piloted aircraft

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 46 of the Bulletin features ten safety investigations:

Jet aircraft

• Pre-flight planning event involving a Boeing 737, VH-YIU

Turboprop aircraft

• Weather related event involving a Bombardier DHC-8, VH-XFQ

Piston aircraft

• Collision with terrain involving a Beech A36, VH-PAK
• Fuel exhaustion event involving a Cessna 182, VH-DNZ
• Fuel management issue, involving a PA-31-350, VH-HJH
• Wheels-up landing involving a Cessna 172RG, VH-HTP
• Flight path infringement involving a Cessna 172M, VH-EJM and a vehicle
• Partial engine failure involving a Gippsland Aeronautics GA-8, VH-FGN
• Aircraft control issue involving a Liberty XL-2, VH-CZS

Helicopters

• Collision with terrain involving a Robinson R22, VH-NCL

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 44 of the Bulletin features 10 safety investigations:

Piston aircraft

• Landing gear malfunction involving a Cessna 210, VH-SMP
• Collision with terrain involving a Victa 115 Airtourer, VH‑MUV
• Separation issue involving a Pacific Aerospace CT/4B, VH-YCU, and a Diamond DA 40, VH-UNV
• Collision with terrain during landing, involving a PA32 aircraft, VH-BDG
• Engine failure and collision with terrain involving a Cessna 210, VH‑ERU
• Collision with terrain involving a Grumman G164, VH-LKN
• Separation issue involving a Cessna 404, VH-ANM, and a Cessna 172, VH MJK

Helicopters

• Engine failure involving an Enstrom 280, VH-YHD
• Windscreen fogging and collision with terrain involving a Robinson R22, VH-RBT
• Loss of control involving a Bell 206L3, VH-BLV

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 42 of the Bulletin features 10 safety investigations:

Jet aircraft

• Data input error involving a Boeing 737, VH-XZI

Piston aircraft

• Engine failure involving a de Havilland Canada DHC-1 (Chipmunk), VH-RVY
• Near collision between a Beech 76 aircraft, VH-ZUA and a Eurocopter AS350 helicopter, VH-SWX
• Separation issue involving a Cessna 208, VH-HLN, and a Cessna 207, VH-WOX
• VFR into IMC involving a Beech A36, VH-ANX
• Collision with terrain involving a Cessna 182, VH-AHC

Helicopters

• Tail rotor malfunction involving a Robinson R22, registration VH-HPH
• Collision with terrain involving a Robinson R22, VH-APP
• Wirestrike involving a Robinson R44, VH-LOL

Remotely piloted aircraft systems

• Loss of operator control involving an Aeronavics SkyJib 8 remotely piloted aircraft

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 43 of the Bulletin features 10 safety investigations:

Jet aircraft

• Descent below minimum altitude involving a Boeing 777, A6-ECO
• Flight below minimum altitude involving an Avro 146, VH-NJW

Turboprop aircraft

• Stall warning event involving a Raytheon B200, VH-ZCO
• Loss of separation involving a Cessna 441, VH-JLT, and a Raytheon B200, VH-ZCJ

Piston aircraft

• Fuel starvation event involving a Cessna 210, VH-BKD
• Smoke event involving a Cirrus SR22T, VH-EPG
• Low fuel event involving a Piper PA‑28, VH-MHI
• Wirestrike involving an Eagle DW1, VH-FHP

Helicopters

• Collision with terrain involving a Robinson R22, VH-RBO
• Collision with terrain involving a Robinson R44, VH-VOH