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 40 of the Bulletin features 10 safety investigations:

Piston aircraft

• Wheels-up landing involving a Cessna 210, VH-MCE
• Wheels-up landing involving a Cessna 310, VH-TBE
• Near collision involving a Cessna 152, VH-NKL and a Starduster SA300, VH-XRS
• Wheels-up approach and go-around involving Piper PA-31-350, VH-TXK
• Taxiing collision involving a Cessna 172S, VH-EOT and a Cessna 172S, VH-EOP
• Collision after landing involving a Fletcher FU-24, VH-KXT and a Gippsland GA-200, VH-AGZ
• Collision with terrain involving a Liberty XL-2, VH-CZT

Helicopters

• Collision with terrain involving a Robinson R22, VH-SSD
• Collision with terrain involving a Robinson R22, VH-ZBH
• Collision with terrain involving a Robinson R44, VH-YYF

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 41 of the Bulletin features 13 safety investigations:

Jet aircraft

• Main landing gear wheel failure involving a Boeing 737, ZK-ZQB
• Operational event involving a Boeing 737, VH-VUR

Piston aircraft

• Wheels-up landing involving a Cessna 210, VH-JGA
• Engine failure and forced landing involving Cessna 210, VH-TWD
• Near collision involving a Diamond DA20, VH-YNB and a Mooney M20, VH-SJT
• Runway overrun involving an Aero Commander 500, VH-WZV
• Collision on the ground involving a Piper PA-28, VH-TXH and a Cessna 172, VH-EUU
• Runway excursion involving a Cessna 404, VH-JOR

Helicopters

• Collision with terrain involving a Schweizer 269C-1, VH-FTY
• Collision with terrain involving Robinson R44, VH-YMD
• Loss of control, involving a Robinson R22, VH-YLP
• Collision with terrain involving a Robinson R22, VH-CMK
• Collision with terrain involving a Robinson R22, VH-HUA

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 39 of the Bulletin features 10 safety investigations:

Jet aircraft

• Loss of separation involving a Boeing 717, VH-NXL, and a vehicle
• Incorrect configuration involving an Airbus A320, VH-VFU

Turboprop aircraft

• Flight crew incapacitation involving a Reims Aviation F406, VH-EYQ
• Runway undershoot involving a Pilatus PC-12, VH-HIG
• Collision with terrain involving an Air Tractor AT-502B, VH-PTF

Piston aircraft

• Collision with terrain involving a Cessna 172, VH-ZZD
• Proximity event between a Robinson R44, VH-JKF and a Cessna 172, VH-EVR

Helicopters

• Aircraft proximity event between two Robinson R22s, VH-HQJ and VH-IAY, and an unknown aircraft
• Separation issue between a Robinson R44, VH-YDK, and a Bell 412, VH-EWA
• Forced landing and ground fire involving a Robinson R44, VH-YYS

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 38 of the Bulletin features 10 safety investigations:

Jet aircraft

• Fumes event involving an Airbus A330, VH-XFB

Piston aircraft

• Engine failure involving a Beech Aircraft Corp D17-S, VH-FNS
• Near collision involving a Grob G115, VH-BBJ and a Grob G115, VH-ZIM
• Loss of control involving a Piper Aircraft Corp PA-28-161, VH-TEK
• Near collision involving an Evektor Sportstar 24-4467, and a PA28R, Piper Arrow, VH-KGP
• Wirestrike involving a Piper PA-25, VH-CPU
• Collision with terrain involving a Cessna 206, VH-KRR
• Near collision involving a de Havilland DHC-2, VH-AWD and a Gippsland Aeronautics GA-8, VH-NOQ

Helicopters

• Loss of control during landing, involving a Bell 206B3, VH-CLR
• Windshear event involving a Eurocopter EC120B, VH-BGB

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 37 of the Bulletin features 9 safety investigations:

Jet aircraft

• Operational event involving an Airbus A320, VH-VNQ

Turboprop aircraft

• Loading event involving a Bombardier DHC-8, VH-LQK

Piston aircraft

• Separation issue involving a Skyfox Aviation CA25N, 24-3265, and a Piper PA-28R, VH-WJO
• Collision during landing, involving a GA8 Gippsland Airvan, VH-XHV

Helicopters

• Loss of control involving a Robinson R44, VH-NUZ
• Collision with terrain involving a Robinson R44, VH-HLB

Recreational aircraft

• Loss of control involving a Jabiru J230, 24-7491

Hot air balloons

• Landing accident involving a Kavanagh Balloons D-84, VH-YPI
• Hard landing involving a Kavanagh Balloon, VH-CNX

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 36 of the Bulletin features 10 safety investigations:

Jet aircraft

• Two loading related events involving a Boeing 737, VH-YIR and an Airbus A330, VH-XFE
• Separation issue involving a Bell 206, VH-XJA, and an Airbus A320, VH-VGJ

Turboprop aircraft

• A flight navigation instrument event, involving a Beech 1900D, VH-YOA
• Trim system malfunction involving a Fairchild SA227, VH-UZI

Piston aircraft

• Runway excursion involving a Cirrus SR22, VH-SRI
• Hard landing, involving a PA28RT, Piper Arrow, VH-ADU
• Wheels-up landing involving a Cessna 210, VH-SKQ
• Collision with terrain during a go-around, involving a Cessna 206, VH-TND
• Collision with terrain involving a Mooney M20J, VH-JDY

Helicopters

• Collision with terrain involving a Bell 206, VH-FHX

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 35 of the Bulletin features 10 safety investigations:

Jet aircraft

• Flight envelope protection event involving an Airbus A320, VH-VFJ
• Aircraft cabin water leak event involving an Airbus A380, VH-OQD

Turboprop aircraft

• Runway incursion involving a Bombardier DHC-8, VH-QOP         

Piston aircraft

• Loss of control during landing, involving a Diamond DA40, VH-CGT
• Fuel exhaustion involving a Piper PA-25, VH-SSO
• Ground collision with a refuelling vehicle, involving a Grob G-115, VH-ZYM
• Potential fuel exhaustion event involving a DHC Beaver, VH-AWI
• VFR into IMC involving a Cessna 206, VH-NCR

Helicopters

• Ground strike and loss of control involving a Robinson R22, VH-HAY
• Wirestrike involving a Robinson R66, VH-JRX

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 34 of the Bulletin features 10 safety investigations:

Jet aircraft

• Cargo hold smoke event involving a Boeing 737, DQ-FJH
• Loading issue involving a Boeing 737, VH-VZO
• Loss of separation assurance involving a Boeing 737, VH-XZA and a Fairchild SA227, VH-ANW

Turboprop aircraft

• Near collision involving a B200 Kingair VH SBM, and a Piper Saratoga, VH XKS

Piston aircraft

• Engine failure involving a Piper PA 46, VH-TSV
• Collision with a tree involving a Cessna 172, VH-EEC

Helicopters

• Collision with terrain involving Robinson R22, VH-HEP
• Collision with terrain involving a Bell 206, VH-KSV
• Collision with terrain involving a Bell 206, VH-NKW
• Collision with terrain involving a Robinson R22, VH-ZZM

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 33 of the Bulletin features 10 safety investigations:

Jet aircraft

• Operational non-compliance involving an Airbus A320, VH-VGU
• Flight control system event involving a Fokker 100, VH-FZO

Turboprop aircraft

• Flight below minimum altitude involving a Beechcraft 200, VH-NMW

Piston aircraft

• Engine failure involving a Cessna C206, VH-YOT
• Controlled flight into terrain, involving PA34, VH-COU
• Landing on a closed runway, involving PA28 VH-FEZ
• Loss of control involving a Cirrus SR22, N802DK
• Near collision involving a Beech BE76, VH-SRO and a Cessna 172, VH-EEM

Helicopters

• Collision with terrain involving a Robinson R22 helicopter, VH-WDB
• Collision with terrain involving a Bell 412, VH-ESD

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 32 of the Bulletin features 10 safety investigations:

Jet aircraft

• Loss of separation between a foreign military Boeing 737 and a Cessna 206, VH-RAP
• Runway incursion involving a Cessna 172, VH-WGL, and a de Havilland DHC-8, VH-QQD

Piston aircraft

• VFR into IMC involving a Piper PA-28R, VH-TBB
• Near collision involving a Piper PA-31, VH-XGW, and a Piper PA-28, VH-IBX
• Flight instrument issue in IMC involving a Piper PA 27, VH-DTL
• Wheels up landing involving a Beech BE58, VH-AKG
• Runway excursion involving a Cessna 172, VH-MKQ

Helicopters

• Total power loss involving a Bell 206B, VH-NDL
• Fuel starvation event involving an Osborne Aviation OH-58A helicopter, VH-OSQ

Balloons

• Wirestrike involving a Kavanagh Balloons B-350, VH-JDI