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.

The Aviation Short Investigation Bulletin, Issue 18 features 10 safety investigations:

Jet aircraft

• Significant wind change during take-off involving Boeing 737, VH-VZL 

Turboprop aircraft

• Aircraft proximity event between a Piper PA-28, VH-PZK and a Cessna 441, VH-VEJ
• Aircraft proximity event between a Beech B200C, VH-AMQ and a Ventus glider, PH-1234
• Aircraft proximity event between a Beech B200C, VH-VAE and an unidentified glider
• Wirestrike involving an Ayres Thrush S2R-T34, VH-HAH

Piston aircraft

• Power loss (both engines) involving Piper PA-39, VH-RMA
• Aircraft proximity event between a Piper PA-44, VH-MHZ and a Hawker G36, VH-JKL
• Engine failure involving a Cessna 182R, VH-OWZ
• Wheels up landing involving a Cessna 337F, VH-JUP

Helicopters

• Loss of control involving Robinson R22, VH-HGI

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.

The Aviation Short Investigation Bulletin, Issue 17 features 10 safety investigations:

Jet aircraft

• Wake turbulence event involving a Boeing 737, VH‑YIO
• Windshield cracking event involving a Cessna Aircraft 750, VH-RCA 

Turboprop aircraft

• Airspace related event involving Beech 1900C, VH-KFN and Aerospatiale AS350 B2, VH-VRW
• Runway loss of separation between Bombardier DHC-8, VH-ZZJ and Aerospatiale, VH-LOJ
• Pilot incapacitation event involving a Hawker B200, VH-FDT

Piston aircraft

• Loss of separation involving a Cessna 310, VH XXT and a Cessna 210, VH RQD
• Engine failure involving Cirrus SR22, VH-WYH
• Loss of performance involving DH-82A (Tiger Moth), VH-DDA
• Aircraft proximity event between an Alpha Aviation R2160, VH-NZT and a Diamond DA 40, VH-UNH

Helicopters

• Loss of control involving a Robinson R44, VH-RYO

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.

The Aviation Short Investigation Bulletin, Issue 16 features 10 safety investigations:

Turboprop aircraft

• TCAS advisory involving Bombardier DHC-8-315, VH-SBG
• Airspace related event involving Kingair, VH-VAH and Ag-Cat, VH-IFE

Piston aircraft

• Runway excursion involving Cessna 210N, VH-WPD
• Aircraft proximity event involving a Cessna 172S, VH-VMM and a Schweizer 269C-1, VH-FTR
• Collision with terrain involving Cessna 172N, VH-JGR
• Aircraft proximity event between two Piper PA-28 aircraft, VH-LXH and VH-TAU
• Runway excursion involving Cessna T210, VH-DQI

Helicopters

• Hard landing involving Robinson R44 VH-HYR
• Loss of control involving Robinson R22, VH-HTD

Unmanned aerial systems

• Airspace incursion involving unmanned airship, Airship 11

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.

The Aviation Short Investigation Bulletin, Issue 14 features 11 safety investigations:

Turboprop aircraft

• Propeller strike involving Fairchild SA227-DC, VH-WBQ (AO-2012-106)
• Depressurisation event involving a Metro 3, VH-SEF (AO-2012-127)

Piston aircraft

• Two aircraft proximity events at Ballarat airport (AO-2012-102)
• Inadvertent landing gear retraction involving Aero Commander, VH-YJS (AO-2012-110)
• Airspace related event between Cessna 172, VH-EPB and Piper Warrior, VH-BZE (AO-2012-111)
• Fuel starvation involving Piper Seneca, VH-BTW (AO-2012-112)
• Runway excursion involving Piper PA-28, VH-SFK (AO-2012-113)
• Engine failure involving Piper PA-32, VH-FAJ (AO-2012-125)
• Hard landing involving Cessna P206B, VH-EGG (AO-2012-135)

Helicopters

• In-flight fire involving Eurocopter AS-350BA, VH-HEB (AO-2012-084)
• Collision with terrain involving Kawasaki 369HS, VH-JWJ (AO-2012-104)

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.

The Aviation Short Investigation Bulletin, Issue 15 features nine safety investigations:

Turboprop aircraft

• Aircraft proximity event between Beech 1900, VH-EMK and Airparts FU-24, VH-HVP  (AO-2012-134)
• Weather balloon event involving Bombardier DHC-8-400, VH-LQG (AO-2012-144)

Piston aircraft

• Runway excursion involving Piper PA-39, VH-MMN (AO-2012-145)
• Wheels up landing involving Beech A36, VH-SQI (AO-2012-151)
• Landing on a closed airstrip involving a Piper PA-28R, VH-HKZ (AO-2012-155)

Helicopters

• Ditching involving Robinson R44, VH-CYH (AO-2012-096)
• Power loss involving Robinson R44, VH-NWD (AO-2012-136)
• Hard landing involving Cabri G2 VH-CDU (AO-2012-140)
• Controlled flight into water involving Robinson R22, VH-HOA (AO-2012-146)

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.

The Aviation Short Investigation Bulletin, Issue 13 features ten safety investigations:

Jet aircraft

• Fuel imbalance – Boeing 737, VH-VOL (AO-2012-053)
• Breakdown of separation – Boeing 737-438 and Fairchild SA227 (AO-2012-087)

Turboprop aircraft

• Partial pilot incapacitation – Raytheon B200, VH-MSH (AO-2012-100)
• Breakdown of separation – Beech 200, VH-FDD and Beech 350, DINGO 008 (AO-2012-101)

Piston aircraft

• Aircraft proximity event – Piper PA-34, VH-PWQ and Cessna R182, VH-JYG (AO-2012-071)
• Aircraft proximity event – two Cessna 172S, VH-EWE and VH-EOP (AO-2012-099)
• Hard landing – Cessna 172S, VH-EOP (AO-2012-114)

Helicopters

• Collision with terrain – Robinson R22, VH-STK (AO-2012-091)

Other vehicles

• Runway incursion – Perth airport safety vehicle (AO-2012-086)
• Runway incursion – Mackay airport safety vehicle (AO-2012-090)

The Aviation Short Investigation Bulletin covers a range of the ATSB’s shorter 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 or identified. The Bulletin also highlights important Safety Messages for the broader aviation community, drawing on earlier ATSB investigations and research. 

Issue 11 of the Bulletin features ten investigations including two runway excursions, a hard landing and an engine in-flight shut down.

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.

The Aviation Short Investigation Bulletin, Issue 12 features ten safety investigations:

Jet aircraft

• Fumes event – Boeing 7373, VH-VBL (AO-2012-060)

Turboprop aircraft

• Take-offs without runway lighting (AO-2012-069)

Piston aircraft

• Partial power loss – Gippsland Aeronautics GA8, VH-WOV (AO-2012-062)
• Airspace related event – Amateur Built Van’s RV-8, VH-YGY (AO-2012-067)
• Fuel contamination – Cessna 182P, VH-WTS (AO-2012-083)
• Total power loss – Gippsland Aeronautics GA-8 Airvan, VH-FCK (AO-2012-092)

Helicopters

• Collision with terrain – Guimbal Cabri G2, VH-ZZT (AO-2012-055)
• Collision with terrain – Robinson R44 Raven 1, VH-HOU (AO-2012-078)
• Wirestrike – Robinson R44, VH-HIE (AO-2012-079)
• Collision with terrain – Schweizer 269C-1, VH-LTO (AO-2012-082)

The summary reports detailed herein were compiled from information provided to the ATSB by individuals or organisations involved in an accident or serious incident.

The summary reports detailed herein were compiled from information provided to the ATSB by individuals or organisations involved in an accident or serious incident.