Collision with terrain

Collision with terrain - Gippsland Aeronautics GA-8 Airvan, VH-DQP, Flinders Island, Tasmania, on 15 October 2010

Summary

On 15 October 2010, the pilot of a Gippsland Aeronautics GA-8 Airvan, registered VH-DQP, was conducting a charter flight from Lady Barron, Flinders Island to Bridport, Tasmania with six passengers on board. The aircraft departed Lady Barron Aerodrome at about 1700 Australian Eastern Daylight-saving Time and entered instrument meteorological conditions (IMC) several minutes afterwards while climbing to the intended cruising altitude of about 1,500 ft. The pilot did not hold a command instrument rating, and the aircraft was not equipped for flight in IMC. He attempted to turn the aircraft to return to Lady Barron Aerodrome but became lost, steering instead towards high ground in the Strzelecki National Park in the south-east of Flinders Island.

At about 1715, the aircraft exited cloud in the Strzelecki National Park, very close to the ground. The pilot turned to the left, entering a small valley in which he could neither turn the aircraft nor out climb the terrain. He elected to slow the aircraft to its stalling speed for a forced landing and, moments later, it impacted the treetops and then the ground. The first passenger to exit the aircraft used the aircraft fire extinguisher to put out a small fire that had begun beneath the engine. The other passengers and the pilot then exited the aircraft safely. One passenger was slightly injured during the impact; the pilot and other passengers were uninjured.

During the night, all of the occupants of the aircraft were rescued by helicopter and taken to the hospital in Whitemark, Flinders Island.

Occurrence summary

Investigation number AO-2010-080
Occurrence date 15/10/2010
Location Flinders Island
State Tasmania
Report release date 12/05/2011
Report status Final
Investigation level Systemic
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Collision with terrain
Occurrence class Accident
Highest injury level Minor

Aircraft details

Manufacturer Gippsland Aeronautics Pty Ltd
Model GA8
Registration VH-DQP
Serial number GA8-05-075
Sector Piston
Operation type Charter
Departure point Lady Barron, Flinders Island, Tas.
Destination Bridport, Tas.

Collision with terrain - Robinson R22 Beta, VH-THI, 170 km east of Katherine, Northern Territory, on 4 October 2010

Summary

On 4 October 2010, the pilot of a Robinson Helicopter R22 Beta, registered VH‑THI, was conducting cattle mustering operations on a station property about 170 km east of Katherine, Northern Territory. During those operations, the helicopter collided with the ground. The pilot, the sole occupant of the helicopter, sustained fatal injuries. The helicopter was seriously damaged.

The investigation determined that the collision with terrain was probably a result of engine stoppage while operating at low altitude. The investigation also determined that the helicopter was serviceable prior to the collision with the terrain and that the engine stoppage was probably due to fuel exhaustion.

The nature of mustering operations had the potential to divert the pilot's attention away from other safety-critical tasks, such as monitoring the helicopter's fuel state. The circumstances of the accident highlight the importance of pilots and operators using a system to independently verify the fuel quantity in their aircraft's tanks.

Occurrence summary

Investigation number AO-2010-073
Occurrence date 04/10/2010
Location 170 km east of Katherine
State Northern Territory
Report release date 30/11/2011
Report status Final
Investigation level Systemic
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Collision with terrain
Occurrence class Accident
Highest injury level Fatal

Aircraft details

Manufacturer Robinson Helicopter Co
Model R22
Registration VH-THI
Serial number 864
Sector Helicopter
Operation type Private
Departure point Mountain Valley Station, NT
Destination Mountain Valley Station, NT
Damage Substantial

Collision with terrain - Cessna Agtruck, VH-KZF, 25 km east of Geraldton Airport, Western Australia, on 14 September 2010

Preliminary report

Preliminary report released 25 September 2010

On 14 September 2010, the pilot of a Cessna A188B/A1 Agtruck aircraft, registered VH-KZF was conducting aerial spraying operations about 25 km east of Geraldton Aerodrome, Western Australia.

The pilot was taking off from a gravel airstrip on the eleventh of 12 planned flights when the aircraft struck a tree stump that was located in the runway overshoot area, then collided with terrain about 100 m from the departure end of the airstrip.

The pilot was fatally injured, and the aircraft was seriously damaged by the impact forces and an intense post-impact fire.

Summary

On 14 September 2010, the pilot of a Cessna A188B/A1 Agtruck aircraft, registered VH-KZF, was conducting aerial spraying operations about 25 km east of Geraldton Airport, Western Australia.

The pilot commenced the take-off from an elevated, 700m long gravel airstrip on the eleventh of 12 flights, during which the aircraft did not achieve the required take-off performance. In an attempt to become airborne before the end of the useable runway surface, the pilot elected to dump some of the chemical load and continued the take-off.

The diminished aircraft performance was such that, despite the reduced chemical load, the aircraft did not accelerate to the required take-off speed before the runway overshoot area. The aircraft made contact with a tree stump that was embedded in thick weed and likely further reduced the aircraft's ability to sustain flight. The aircraft subsequently collided with terrain a short distance from the departure end of the airstrip.

The pilot was fatally injured, and the aircraft was seriously damaged by the impact forces and an intense post-impact fire.

The investigation did not identify any organisational or systemic issues that might adversely affect the future safety of aviation operations. However, the accident does provide a timely reminder of the need for performance planning and the continual assessment of the effect of changing conditions on that planning.

Occurrence summary

Investigation number AO-2010-069
Occurrence date 14/09/2010
Location 25 km east of Geraldton
State Western Australia
Report release date 29/07/2011
Report status Final
Investigation level Systemic
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Collision with terrain
Occurrence class Accident
Highest injury level Fatal

Aircraft details

Manufacturer Cessna Aircraft Company
Model 188
Registration VH-KZF
Serial number 18803279T
Sector Piston
Operation type Aerial Work
Damage Substantial

Technical assistance - Recreational Aviation Australia - Hughes Engineering Lightwing SP-2000 aircraft, 24-7057, 4 April 2010

Summary

The ATSB has completed its technical examination of a cockpit-mounted Global Positioning System (GPS) unit from Hughes Engineering Lightwing SP-2000 aircraft, registered 24-7057. The aircraft was involved in a fatal accident on 4 April 2010 at Tartrus Station, Queensland.

Recreational Aviation Australia Inc (RA-Aus) is assisting the Queensland Police in their investigation of this accident. RA-Aus requested assistance from the Australian Transport Safety Bureau (ATSB) in the recovery and analysis of information from the GPS unit, which had been recovered from the aircraft wreckage by RA-Aus investigators. To protect the information recovered from the GPS unit and the investigative work undertaken to assist RA-Aus, the ATSB initiated an investigation under the Transport Safety Investigation Act 2003.

In summary, while the GPS unit was found to be functional, the ATSB's examination of the device found that the unit's track and data recording functionality had not been enabled, and as a result, there was no data relating to the accident able to be recovered.

 

 

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Released in accordance with section 25 of the Transport Safety Investigation Act 2003.

Occurrence summary

Investigation number AE-2010-056
Occurrence date 04/04/2010
Location Tartrus Station, near Marlborough
State Queensland
Report release date 23/08/2010
Report status Final
Investigation level Systemic
Investigation type External Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Collision with terrain
Occurrence class Accident
Highest injury level Fatal

Aircraft details

Manufacturer Howard Hughes Engineering P/L
Model Lightwing SP-2000
Registration 24-7057
Departure point Tartrus Station, Qld
Destination Tartrus Station, Qld

Collision with water - Cessna 172N, VH-UFN, Woolcunda Lake, New South Wales, on 21 June 2010

Summary

On the morning of 21 June 2010, the owner/pilot of a Cessna Aircraft 172N, registered VH‑UFN, departed from a private airstrip near Woolcunda Lake, New South Wales for a flight over the pilot's property. The aircraft did not return and was reported missing that afternoon. A search was initiated and, 2 days later, the aircraft was located in Woolcunda Lake.

The investigation identified that the aircraft impacted the lake in a left banking turn. Irrespective of the reason for being at low level, it is probable that the pilot misjudged the height of the aircraft above the lake's surface or was distracted at a height from which the pilot was unable to recover before impacting the water.

Australian Transport Safety Bureau report AR‑2009-041 Avoidable Accidents No. 1: Low‑level flying addressed the dangers associated with low-level flight and in particular, the reduced time available to recover from any loss of control. This investigation provides a timely reminder of the effect on that risk of flight over expanses of flat, featureless terrain or water.

Occurrence summary

Investigation number AO-2010-045
Occurrence date 21/06/2010
Location Woolcunda Lake
State New South Wales
Report release date 19/08/2011
Report status Final
Investigation level Systemic
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Collision with terrain
Occurrence class Accident
Highest injury level Fatal

Aircraft details

Manufacturer Cessna Aircraft Company
Model 172
Registration VH-UFN
Serial number 17270963
Sector Piston
Operation type Private
Departure point Woolcunda Station, NSW
Destination Woolcunda Station, NSW
Damage Substantial

Collision with terrain - Robinson R22, VH-RPN, 257 km east-north-east of Derby, Western Australia, on 13 June 2010

Preliminary report

Preliminary report released 6 August 2010

On 13 June 2010, a Robinson Helicopter Co R22 Beta, registered VH-RPN, was engaged in cattle mustering operations on a station property about 257 km east-north-east of Derby, Western Australia. During those operations the helicopter collided with the ground and caught fire. The pilot, the sole occupant of the helicopter sustained fatal injuries.

Summary

On 13 June 2010, a Robinson Helicopter Co. R22 Beta, registered VH-RPN, was engaged in aerial cattle mustering operations on a station property about 257 km east-north-east of Derby, Western Australia. During those operations, the helicopter collided with the ground and caught fire. The pilot, the sole occupant of the helicopter, sustained fatal injuries.

The investigation found that the helicopter had a high descent rate and some forward speed at impact but, due to the lack of evidence as a function of the type and location of the operation, was unable to positively establish any further contributing factors.

The investigation did not identify any organisational or systemic issues that might adversely affect the future safety of aviation operations. However, the accident provides a reminder of the hazards involved in aerial mustering operations that result in, or add to a number of low‑level risks that require close management. Any pilot distraction, aircraft or systems failure, adverse weather or aircraft performance, or handling inattention can reduce the margins for continued safe flight.

Occurrence summary

Investigation number AO-2010-042
Occurrence date 13/06/2010
Location 257 km ENE of Derby
State Western Australia
Report release date 08/06/2011
Report status Final
Investigation level Systemic
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Collision with terrain
Occurrence class Accident
Highest injury level Fatal

Aircraft details

Manufacturer Robinson Helicopter Co
Model R22
Registration VH-RPN
Serial number 2241
Sector Helicopter
Operation type Aerial Work
Damage Destroyed

Collision on ground - Cessna A185E floatplane, VH-ELQ, ‘Tippler’s Passage’, South Stradbroke Island, Queensland, on 9 January 2010

Summary

On 9 January 2010, the pilot of a Cessna Aircraft Company A185E floatplane, registered VH-ELQ, commenced the take-off run in Tippler's Passage on a charter flight around South Stradbroke Island, Queensland (Qld), with four passengers onboard. Immediately after the aircraft's floats came out of the water, the pilot reported 'feeling something hitting and vibrating on the right float'. The pilot rejected the takeoff and landed the aircraft straight ahead. The aircraft struck a sandbank and came to rest inverted. The five occupants exited the aircraft; one passenger received minor injuries.

Shortly after, a crab pot was observed within the immediate vicinity of the aircraft. The pilot reported that it was likely that the crab pot became entangled around the aircraft's right water rudder during taxiing.

An investigation conducted by the Queensland Police Service determined that there was evidence to suggest that the crab pot had come into contact with the aircraft's float. However, where the contact was made, and for how long, was not determined. A number of differences were also identified throughout the course of the investigation relating to the wind conditions at the time of the accident, the position of the aircraft at the time of the takeoff, whether or not the takeoff was commenced into wind, and the location of the crab pots. These differences could not be reconciled.

While the aircraft occupants in this accident were able to don life jackets and exit the aircraft without difficulty, previous ATSB investigations have highlighted the challenges faced when exiting from an inverted, submerged aircraft cabin. In 2009, the Civil Aviation Safety Authority issued a Notice of Proposed Rule Making, proposing that each occupant of a seaplane taking off or landing on water must wear a life jacket. This will ensure that the availability of life jackets after the occupants have exited the aircraft into the water is assured.

Occurrence summary

Investigation number AO-2010-002
Occurrence date 09/01/2010
Location ‘Tippler’s Passage’, South Stradbroke Island
State Queensland
Report release date 29/06/2010
Report status Final
Investigation level Short
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Collision with terrain
Occurrence class Accident
Highest injury level Minor

Aircraft details

Manufacturer Cessna Aircraft Company
Model 185
Registration VH-ELQ
Serial number 1851078
Sector Piston
Operation type Charter
Departure point South Stradbroke Island, Qld
Destination South Stradbroke Island, Qld

Loss of tailrotor control - Garlick TH-1F, VH-UHD, Nangar National Park, New South Wales, on 23 December 2009

Summary

On 23 December 2009, a Garlick Helicopters Incorporated TH-1F helicopter, registered VH-UHD, was engaged in aerial firefighting operations in the Nangar National Park, New South Wales. At about 200 ft above ground level, the nose of the helicopter unexpectedly yawed to the right. The pilot made a corrective input on the tailrotor pedals, but was unable to stop the yaw and the helicopter began to rotate. The pilot guided the helicopter to a less-timbered area for an emergency landing. The helicopter descended into the trees and was seriously damaged. The pilot, the sole occupant, was seriously injured.

The loss of directional control was due to a structural failure in the helicopter's tailrotor control system, likely precipitated by the failure of an attachment bolt.

The investigation identified a safety issue with the maintenance and operation of ex-military helicopters being used in repetitive heavy lift operations. In response, on 5 July 2011, the Civil Aviation Safety Authority published Airworthiness Bulletin 02‑40 Issue 1 to advise operators and maintainers to investigate the basis for, and the correct implementation of, the continuing airworthiness requirements of the applicable type certificate data sheet and incorporated supplemental type certificates, particularly in regard to the retirement lives of all life-limited components.

Occurrence summary

Investigation number AO-2009-081
Occurrence date 23/12/2009
Location Nangar National Park
State New South Wales
Report release date 11/11/2011
Report status Final
Investigation level Systemic
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Collision with terrain
Occurrence class Accident
Highest injury level None

Aircraft details

Manufacturer Garlick Helicopters Inc
Model TH-1
Registration VH-UHD
Serial number 66-1233
Sector Helicopter
Operation type Aerial Work
Damage Substantial

Recreational Aviation Australia Inc (RA-Aus) assistance - Taylor Monoplane ultralight aircraft

Summary

On the afternoon of 2 December 2009, while being operated on an approach to a private airstrip near Boorowa, NSW, a 'Taylor Monoplane' ultralight aircraft, registered 28-3506, collided with terrain after striking power lines. The pilot, who was the sole occupant of the aircraft, was fatally injured.

On 6 December 2009, a 'Pipstrel Spider' microlight aircraft, registered 32-4391, being operated on a private flight with two persons on-board, collided with terrain during a local flight near Yarrawonga, Vic. Both occupants sustained fatal injuries.

Recreational Aviation Australia Inc (RA-Aus) is assisting the NSW & Vic. police (respectively) in their investigations of these accidents. Recreational Aviation Australia Inc (RA-Aus) requested assistance from the Australian Transport Safety Bureau (ATSB) in the recovery of information from portable Global Positioning System (GPS) units recovered from both accident sites.

To protect the information supplied by RA-Aus to the ATSB and investigative work undertaken to assist RA-Aus, the ATSB initiated an investigation under the Transport Safety Investigation Act 2003 (TSI Act). The ATSB completed its recovery of data from the Lowrance® Airmap 500 portable GPS receiver (serial No: 50086640) and the Garmin® GPS Map 296 portable GPS receiver (serial No: 10D003804), and provided the data to RA-Aus in the interests of transport safety, under the provisions of section 61 of the TSI Act.

Contact details for RA-Aus are at Website: www.raa.asn.au

 

 

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Released in accordance with section 25 of the Transport Safety Investigation Act 2003.

Occurrence summary

Investigation number AE-2009-074
Occurrence date 21/12/2009
Location Multiple
State Other
Report release date 01/02/2010
Report status Final
Investigation level Systemic
Investigation type External Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Collision with terrain
Occurrence class Accident
Highest injury level Fatal

Technical assistance to RA-Aus regarding the accident involving a 'Boorabee' ultralight aircraft, registered 19-1418, on 12 October 2009

Summary

On 12 October 2009, a 'Boorabee' ultralight aircraft, registered 19-1418, being operated on a private flight from Renmark, Vic. to Casino, NSW, impacted the ground approximately 37 km west-south-west of Hay, NSW. The pilot, who was the sole occupant of the aircraft, was fatally injured. In assisting the NSW Police in their investigation of this accident, Recreational Aviation Australia Inc (RA-Aus) requested assistance from the Australian Transport Safety Bureau (ATSB) in the recovery of information from a portable Global Positioning System (GPS) unit recovered from the accident site.

To protect the information supplied by RA-Aus to the ATSB and investigative work undertaken to assist RA-Aus, the ATSB initiated an investigation under the Transport Safety Investigation Act 2003 (TSI Act). The ATSB completed its recovery of data from the Garmin® GPS72 portable GPS receiver (serial No: 82377157) and provided the data to RA-Aus in the interests of transport safety, under the provisions of section 61 of the TSI Act.

Contact details for RA-Aus are at Website: www.raa.asn.au

 

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Released in accordance with section 25 of the Transport Safety Investigation Act 2003.

 

Occurrence summary

Investigation number AE-2009-067
Occurrence date 12/10/2009
Location 37 Km WSW of Hay, NSW
State New South Wales
Report release date 15/12/2009
Report status Final
Investigation level Systemic
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Collision with terrain
Occurrence class Accident
Highest injury level Fatal

Aircraft details

Manufacturer TL Ultralight
Model Boorabee
Registration 19-1418
Serial number -
Operation type Sports Aviation
Departure point Renmark, Vic
Destination Casino, NSW