Loss of control

Cessna 172D, VH-DIN, Launceston Tas, 25 September 1964

Summary

Prior to commencing a charter flight from Launceston to Flinders Island the pilot made a visual check of the fuel tanks and assessed that they were full. He was not aware that since the aircraft had been refuelled it had made a flight of 1 hour 45 minutes duration. On the return flight, approaching Launceston, the pilot was given landing instructions and when the aircraft was established on a visual descent, the engine failed. As he was only 1, 000 feet above unsuitable terrain, he turned towards the only suitable field in the area and attempted to restart the engine. Being unable to do so the pilot gave his attention to the forced landing and requested a wind velocity from Launceston Tower. Because of his position and altitude he elected to land downwind in the 15 knot wind, in the field previously selected. The aircraft touched down and rolled for a considerable distance before the pilot began a ground loop to avoid striking a fence across his path. This manoeuvre was only partly successful because of the damp grass and the aircraft struck a fence post and damaged the tail plane and rear fuselage.

Occurrence summary

Investigation number 196902376
Occurrence date 14/10/1969
Location Launceston
Report release date 15/04/1970
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Loss of control
Occurrence class Accident
Highest injury level None

Aircraft details

Manufacturer Cessna Aircraft Company
Model 172
Registration VH-DIN
Operation type Charter
Departure point Flinders Island
Destination Launceston
Damage Substantial

Piper PA25-235C Pawnee, VH-MCJ, Mount Sunday, Mansfield State Forest, Vic, 28 April 1969

Summary

The pilot had completed three aerial seeding flights over areas In timbered and mountainous terrain In a light northerly wind. On the fourth flight he was making runs down a slope from north-east to south-west and, after each run, was repositioning his aircraft at the top of the slope by flying a right hand circuit. At the end of one run and with only a small area to complete, the pilot decided to make a left turn and a finishing run up the slope and to leave the area by turning left again. During the final run he became aware there was Insufficient space to permit the Intended manoeuvre so he turned right toward a lower spur line but realised he was unlikely to clear this. The pilot operated the dump lever, the aircraft settled Into the trees with full power applied and fell to the ground, coming to rest Inverted.

Occurrence summary

Investigation number 196902355
Occurrence date 28/04/1969
Location Mansfield State Forest
Report release date 24/06/1970
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Loss of control
Occurrence class Accident
Highest injury level Minor

Aircraft details

Manufacturer Piper Aircraft Corp
Model PA-25
Registration VH-MCJ
Operation type Aerial Work
Departure point Delatlte Station Strip
Destination Delatlte Station Strip
Damage Destroyed

Cessna 180, VH-IAM, Ross, Tasmania, 4 March 1969

Summary

During the day the pilot, who was inexperienced in agricultural operations, had completed the spreading of superphosphate while under the supervision of a Class 1 agricultural pilot. The strip used, though adequate in length, was substantially below the prescribed minimum in width, it was bordered by rough, rutted ground and targe rocks and the transverse gradient was in excess of the specified maximum. In the late afternoon the pilot returned to the strip to load some equipment. The wind was calm and shortly after making a normal landing the aircraft diverged approximately 12 feet to the right of the strip centre line. Due to the rough ground and downslope the pilot was unable to regain the central strip and the main wheels struck some large rocks tipping the aircraft on to its nose.

Occurrence summary

Investigation number 196902347
Occurrence date 04/03/1969
Location south east of Ross
Report release date 02/12/1969
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Loss of control
Occurrence class Accident
Highest injury level None

Aircraft details

Manufacturer Cessna Aircraft Company
Model 180
Registration VH-IAM
Operation type Aerial Work
Departure point Tunbridge
Destination Mt. Morriston
Damage Substantial

Piper PA28-180, VH-MOL, Phillip Island, Vic, 9 February 1969

Summary

Prior to landing on a strip which is aligned in a southerly direction, the pilot estimated that he would be subject to a cross wind of from 10 to 12 knots from the left. However, he was not aware that the topography adjacent to the strip threshold could considerably influence the ambient wind and, during the landing flare -out, the aircraft encountered a strong wind gust from the left. On touchdown the aircraft commenced to turn to the left and, although the pilot took remedial action, he was unable to maintain directional control. In the latter stages of the landing run, the aircraft swung further into wind and the nose landing gear strut bent.

Occurrence summary

Investigation number 196902341
Occurrence date 09/02/1969
Location Ventnor, Phillip Island
Report release date 24/02/1970
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Loss of control
Occurrence class Accident
Highest injury level None

Aircraft details

Manufacturer Piper Aircraft Corp
Model PA-28
Registration VH-MOL
Operation type Private
Departure point Moorabbin
Destination Phillip Island
Damage Substantial

Cessna 180C, VH-BBN, NW Scone, 11 December 1970

Summary

The aircraft was engaged in superphosphate spreading in hilly country and, after commencing operations at approximately 1400 hours, had completed seven sorties. The runs were made in predominantly easterly and westerly directions and the eastern end was close to the main north-south ridge of the Brawboy Range. The aircraft had been observed turning at the eastern end of the runs by proceeding out through gaps in the ridge and then returning across the crest of the range to spread in a westerly direction. At the termination of the last completed run to the east the aircraft was seen to pull up high and turn inside the face of the ridge before descending and disappearing from the view of the witness. Smoke was seen to rise from the area immediately and the burning wreckage was sighted shortly afterwards by searching aircraft.

Occurrence summary

Investigation number 196901172
Occurrence date 22/10/1969
Location NW Scone
Report release date 11/11/1970
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Loss of control
Occurrence class Accident
Highest injury level Fatal

Aircraft details

Manufacturer Cessna Aircraft Company
Model 180
Registration VH-BBN
Operation type Aerial Work
Departure point Agricultural Strip
Destination Agricultural Strip
Damage Destroyed

ES 57 Kingfisher Glider, VH-GNW, Big Talbingo Mountain, NSW, 16 January 1969

Summary

The pilot and an assistant had rigged a launching device which utilized a bungee assembly of motor tyre tubes, and a vehicle and cable to launch a glider over the slope of Big Talbingo Mountain. It was intended that when the glider was released, sustained acceleration was to be obtained by the vehicle and cable moving away from the glider. The weather conditions were favourable with the glider facing into a wind of 10-15 knots. The assistant positioned the vehicle such that the slack in the system was taken up before he spoke to the pilot who was now in the cockpit and who briefed him again on the required procedure. The vehicle was driven away, stretching the bungee assembly, but at a speed too slow to sustain acceleration of the glider after automatic release. The pilot was aware of the situation, but was committed to the launch and when further movement of the vehicle automatically released the cable retaining the glider, the launch commenced and the glider moved forward without continuing to accelerate and rolled over the edge of the clearing. The left wing dropped and the aircraft continued to sink until it struck the rocky cliff face. The launching system, modified from one used previously by the pilot, was untried and the procedures to be used had not been practised.

Occurrence summary

Investigation number 196901125
Occurrence date 16/01/1969
Location Talbingo
Report release date 22/06/1970
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Loss of control
Occurrence class Accident
Highest injury level Serious

Aircraft details

Manufacturer Edmund Schneider Limited
Model ES-57
Registration VH-GNW
Operation type Gliding
Departure point Big Talbingo Mountain
Destination Talbingo Airstrip
Damage Substantial

Cessna 182C, VH-BIG, South of Hughenden Qld, 27 September 1969

Summary

On the morning of the accident the pilot flew the aircraft from Glenrelgh Station to Hughenden, a distance of 63 nautical miles and arrived at approximately 1000 hours. During the course of the day he consumed a quantity of alcohol. The pilot, who was not qualified for instrument flight, planned to return to Glenreigh that evening but, although last light at Glenrelgh was at 1844 hours, he did not depart Hughenden until 1810 hours and made a planned landing at Peronne Station some 10 minutes later. At about 1825 hours the pilot departed on the 43 nautical mile flight to Glenreigh Station and arrived over the airstrip at about the end of daylight. The aircraft was seen to circle over the strip and make an approach Into the south east with the landing lights Illuminated. A vehicle had been positioned at the side of the north western end of the strip so as to Illuminate the landing area with Its headlights. When the aircraft was almost at the touch down point at the north western end of the strip, the engine power increased and the aircraft climbed away. It made a left hand turn as though to continue around and make another approach. However, when flying above the almost featureless terrain In a position some 2700 feet to the north east of the strip, the aircraft entered a steep dive, crashed to the ground and immediately caught fire. The pilot had been undergoing medical treatment involving tranquilislng and sedative drugs and the possibility exists that this medication interacted with the alcohol consumed to further impair the ability of the pilot.

Occurrence summary

Investigation number 196900024
Occurrence date 27/09/1969
Location Glenreigh Station, Hughenden
Report release date 18/06/1970
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Loss of control
Occurrence class Accident
Highest injury level Fatal

Aircraft details

Manufacturer Cessna Aircraft Company
Model 182
Registration VH-BIG
Operation type Private
Departure point Peronne Station
Destination Glenreigh Station
Damage Destroyed

Loss of control Meta Sokol L40, VH-DUT, Mundubbera Qld, 5 October 1969

Summary

While cruising in level flight the engine, without warning, commenced to vibrate severely. Engine instrumentation remained normal and a magneto check was satisfactory. The vibration increased rapidly to such a degree that the pilot had no alternative but to close the throttle fully and carry out a forced landing. The aircraft was over very rough terrain and the only field available was 1,580 feet in length with trees to 70 feet high at one end and to 20 feet high at the other. The approach was made towards the taller timber, with the wheels down and half flap in a cross wind of about 10 knots from the left. After touching down the pilot realized that the aircraft would overrun the available area and he immediately initiated a turn to the right. Because of the speed and the rough surface, the aircraft skidded sideways and the undercarriage collapsed. The aircraft performance chart indicates that an actual distance of 1,740 feet is required to stop the aircraft from a height of 50 feet when using full flap under the conditions existing at the time of the landing.

Occurrence summary

Investigation number 196900026
Occurrence date 05/10/1969
Location 22 miles SW Mundubbera
Report release date 04/02/1971
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Loss of control
Occurrence class Accident
Highest injury level None

Aircraft details

Manufacturer Czechoslovak Automobile & A/C
Model L40
Registration VH-DUT
Operation type Private
Departure point Roma
Destination Maryborough
Damage Substantial

Piper PA28-180, VH-PIL, Hughenden Qld, 9 February 1969

Summary

When the aircraft arrived over Hughenden it descended to a height of about 400 feet over houses on the southern and north-eastern areas of the town, then climbed slightly and flew at a low height across the town towards the golf course. The aircraft, on two occasions, flew at a height of about 300 feet over the golf course, in the vicinity of the club house, then climbed, circled to the left and descended to a very low height over a group of people who were playing golf. The aircraft then climbed steeply to approximately 200 feet at which height the pilot apparently lost control of the aircraft and it stalled, yawed sharply and dived to the ground. The Initial impact was taken on the nose and starboard main wheel and the aircraft skidded for a distance of 169 feet before coming to rest.

 

Occurrence summary

Investigation number 196900003
Occurrence date 09/02/1969
Location Hughenden
Report release date 21/10/1969
Report status Final
Investigation type Occurrence Investigation
Investigation status Completed
Mode of transport Aviation
Aviation occurrence category Loss of control
Occurrence class Accident
Highest injury level Serious

Aircraft details

Manufacturer Piper Aircraft Corp
Model PA-28
Registration VH-PIL
Operation type Private
Departure point Peronne, 21 miles south, Hughenden
Destination Hughenden
Damage Destroyed

Loss of control, Guimbal Cabri G2, Redcliffe Airport, Queensland, on 28 April 2021

BRIEF

Occurrence Briefs are concise reports that detail the facts surrounding a transport safety occurrence, as received in the initial notification and any follow-up enquiries. They provide an opportunity to share safety messages in the absence of an investigation.

What happened

On 28 April 2021, at 0830 Eastern Standard Time,[1] a flight instructor and student pilot were conducting circuit training in a Guimbal Cabri G2 helicopter at Redcliffe Airport, Queensland.

The student completed one circuit before the instructor took over control of the helicopter to demonstrate another circuit. The instructor reported the controls felt slightly unusual and initially thought that may be due to the crosswind or their own control inputs at the time. The instructor turned the helicopter onto the crosswind then downwind legs of the circuit, before levelling off at 800 ft.

When the instructor attempted to level the helicopter, it did not respond to cyclic inputs and initially maintained the angle of bank (about 20° to the right), before a small increase in angle of bank and a significant nose-down pitch. The cyclic was full aft and left and the helicopter did not respond to instructor inputs.

The helicopter entered a nose-down descending right turn and the instructor broadcast a MAYDAY[2] call. While moving the cyclic, the instructor regained control of the helicopter and conducting a shallow approach back to the airfield with no further control issues.

Post-flight inspection of the helicopter revealed the left cyclic locking collar was not secure, allowing the cyclic to disengage (Figure 1). The dual controls had been removed and reinstalled the previous day for a private flight. The position of the left cyclic locking collar was not noted prior to the flight and the right side cyclic was serviceable throughout.

Figure 1: Dual controls showing the left cyclic control locking collar

Dual controls showing the left cyclic control locking collar
Dual controls showing the left cyclic control locking collar

Source: Aircraft operator

Safety action

As a result of this occurrence, the aircraft operator advised the ATSB of the following proposed safety action:

  • removal and installation of dual controls by engineers instead of pilots
  • redesign of the dual control sign in/out register to mitigate confusion
  • consider dual check sign-off for installation of dual controls
  • raising a company safety alert to highlight the importance of removing distraction while engaged in safety critical tasks.

The operator assessed that the pilot installing the dual controls may have been distracted, as they were concurrently explaining the installation process to another pilot.

Safety message

This occurrence reinforces the importance of a thorough inspection of all visible flight control components and attachment points following maintenance and before flight.

About this report

Decisions regarding whether to conduct an investigation, and the scope of an investigation, are based on many factors, including the level of safety benefit likely to be obtained from an investigation. For this occurrence, no investigation has been conducted and the ATSB did not verify the accuracy of the information. A brief description has been written using information supplied in the notification and any follow-up information in order to produce a short summary report, and allow for greater industry awareness of potential safety issues and possible safety actions.

__________

  1. Eastern Standard Time (EST) was Coordinated Universal Time (UTC) + 10 hours.
  2. MAYDAY: an internationally recognised radio call announcing a distress condition where an aircraft or its occupants are being threatened by serious and/or imminent danger and the flight crew require immediate assistance.

Occurrence summary

Mode of transport Aviation
Occurrence ID AB-2021-015
Occurrence date 28/04/2021
Location Redcliffe
State Queensland
Occurrence class Serious Incident
Aviation occurrence category Loss of control
Highest injury level None
Brief release date 02/06/2021

Aircraft details

Manufacturer Guimbal
Model Cabri G2
Sector Helicopter
Operation type Flying Training
Departure point Redcliffe, QLD
Destination Redcliffe,QLD
Damage Nil