Crash of a Piper PA-31-350 Navajo Chieftain in Hillcrest

Date & Time: Apr 7, 2023 at 0605 LT
Operator:
Registration:
VH-HJE
Flight Type:
Survivors:
Yes
Schedule:
Bankstown – Brisbane
MSN:
31-7852074
YOM:
1978
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1473
Captain / Total hours on type:
204.00
Circumstances:
On 7 April 2023, the pilot of a Piper Aircraft Corporation PA-31-350 Chieftain (PA-31), registered VH-HJE and operated by Air Link, was conducting a freight charter flight from Archerfield, Queensland. The planned flight included one intermediate stop at Bankstown, New South Wales before returning to Archerfield, and was conducted under the instrument flight rules at night. The aircraft departed Archerfield at about 0024 local time and during the first leg to Bankstown, the pilot reported an intermittent fault with the autopilot, producing uncommanded pitch changes and associated rates of climb and descent of around 1,000 ft/min. As a result, much of the first leg was flown by hand. After landing at Bankstown at about 0248, a defect entry was made on the maintenance release; however, the pilot was confident that they would be able to hand fly the aircraft for the return leg and elected to continue with the planned flight. The aircraft was refueled to its maximum capacity for the return leg after which a small quantity of water was detected in the samples taken from both main fuel tanks. Additional fuel drains were conducted until the fuel sample was free of water. The manifested freight for the return leg was considered a light load and the aircraft was within weight and balance limitations. After taking off at 0351, the pilot climbed to the flight planned altitude of 9,000 ft. Once established in cruise, the pilot changed the left and right fuel selectors from the respective main tank to the auxiliary tank. The pilot advised that, during cruise, they engaged the autopilot and the uncommanded pitch events continued. Consequently, the pilot did not use the autopilot for part of the flight. Approaching top of descent, the pilot recalled conducting their normal flow checks by memory before referring to the checklist. During this time, the pilot completed a number of other tasks not related to the fuel system, such as changing the radio frequency, checking the weather at the destination and briefing themselves on the expected arrival into Archerfield. Shortly after, the pilot remembered changing from the auxiliary fuel tanks back to the main fuel tanks and using the fuel quantity gauges to confirm tank selection. The pilot calculated that 11 minutes of fuel remained in the auxiliary tanks (with an estimated 177 L in each main tank). Around eight minutes after commencing descent and 28 NM (52 km) south of Archerfield (at 0552), the pilot observed the right ‘low fuel flow’ warning light (or ‘low fuel pressure’) illuminate on the annunciator panel. This was followed soon after by a slight reduction in noise from the right engine. As the aircraft descended through approximately 4,700 ft, the ADS-B data showed a moderate deceleration with a gradual deviation right of track. While the power loss produced a minor yaw to the right, the pilot recalled that only a small amount of rudder input was required to counter the adverse yaw once the autopilot was disconnected. Without any sign of rough running or engine surging, they advised that had they not seen the annunciator light, they would not have thought there was a problem. Over the next few minutes, the pilot attempted to troubleshoot and diagnose the problem with the right engine. Immediately following power loss, the pilot reported they:
• switched on both emergency fuel boost pumps
• advanced both mixture levers to RICH
• cycled the throttle to full throttle and then returned it to its previous setting without fully closing the throttle
• moved the right fuel selector from main tank to auxiliary
• disconnected the autopilot and retrimmed the aircraft. This did not alter the abnormal operation of the right engine, and the pilot conducted the engine roughness checklist from the aircraft pilot’s operating handbook noting the following:
• oil temperature, oil pressure, and cylinder head temperature indicated normally
• manifold absolute pressure (MAP) had decreased from 31 in Hg to 27 inHg
• exhaust gas temperature (EGT) indicated in the green range
• fuel flow indicated zero.
With no indication of mechanical failure, the pilot advised they could not rule out the possibility of fuel contamination and chose not to reselect the main tank for the remainder of the flight. After considering the aircraft’s performance, handling characteristics and engine instrument indications, the pilot assessed that the right engine, while not able to generate normal power, was still producing some power and that this would assist in reaching Archerfield. Based on the partial power loss diagnosis, the pilot decided not to shut down and secure the engine which would have included feathering the propeller. At 0556, at about 20 NM south of Archerfield at approximately 3,300 ft, the pilot advised air traffic control (ATC) that they had experienced an engine malfunction and requested to maintain altitude. With maximum power being set on the fully operating left engine, the aircraft was unable to maintain height and was descending at about 100 ft/min. Even though the aircraft was unable to maintain height, the pilot calculated that the aircraft should have been able to make it to Archerfield and did not declare an emergency at that time. At 0602, about 12 minutes after the power loss on the right engine, the left engine began to run rough and the pilot observed the left low fuel flow warning light illuminate on the annunciator panel. This was followed by severe rough running and surging from the left engine which produced a series of pronounced yawing movements. The pilot did not run through the checklist a second time for the left engine, reporting that they completed the remaining item on the checklist for the left engine by switching the left engine’s fuel supply to the auxiliary tank. The pilot once again elected not to change tank selections back to mains. With both engines malfunctioning and both propellers unfeathered, the rate of descent increased to about 1,500 ft/min. The pilot advised that following the second power loss, it was clear that the aircraft would not be able to make it to Archerfield and their attention shifted from troubleshooting and performance management to finding somewhere to conduct a forced landing. ADS-B data showed the aircraft was at about 1,600 ft when the left engine malfunctioned. The pilot stated that they aimed to stay above the minimum control speed, which for VH-HJE was 72 kt. The aircraft was manoeuvred during the brief search), during which time the ground speed fluctuated from 110 kt to a low of 75 kt. It was calculated that in the prevailing wind, this would have provided an approximate indicated airspeed of 71 kt; equal to the aircraft’s clean configuration stall speed. The pilot declared an emergency and advised ATC that they were unable to make Archerfield Airport and would be conducting an off-airport forced landing. With very limited suitable landing areas available, the pilot elected to leave the flaps and gear retracted to minimize drag to ensure they would be able to make the selected landing area. At about 0605, the aircraft touched down in a rail corridor beside the railway line, and the aircraft’s left wing struck a wire fence. The aircraft hit several trees, sustaining substantial damage to the fuselage and wings. The pilot received only minor injuries in the accident and was able to exit through the rear door of the aircraft.
Probable cause:
The following contributing factors were identified:
- It is likely that the pilot did not action the checklist items relating to the selection of main fuel tanks for descent. The fuel supply in the auxiliary tanks was subsequently consumed resulting in fuel starvation and loss of power from the right then left engine.
- Following the loss of power to the right engine, the pilot misinterpreted the engine instrument indications as a partial power loss and carried out the rough running checklist but did not select the main tanks that contained substantial fuel to restore engine power, or feather the propeller. This reduced the available performance resulting in the aircraft being unable to maintain altitude.
- When the left engine started to surge and run rough, the pilot did not switch to the main tank that contained substantial fuel, necessitating an off‑airport forced landing.
- It is likely that the pilot was experiencing a level of fatigue shown to have an effect on performance.
- As the pilot was maneuvering for the forced landing there was a significant reduction of airspeed. This reduced the margin over the stall speed and increased the risk of loss of control.
- Operator guidance material provided different fuel flow figures in the fuel policy and flight crew operating manual for the PA-31 aircraft type.
- The operator’s fuel monitoring practices did not detect higher fuel burns than what was specified in fuel planning data.
- The forced landing site selected minimized the risk of damage and injury to those on the ground and the controlled touchdown maximized the chances of survivability.
Final Report:

Crash of a Piper PA-31-310 Navajo near Brisbane: 1 killed

Date & Time: Jul 20, 1993 at 1546 LT
Type of aircraft:
Operator:
Registration:
VH-UFO
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Brisbane – Caboolture
MSN:
31-7712060
YOM:
1977
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
531
Captain / Total hours on type:
35.00
Circumstances:
The aircraft, with only the pilot on board, was being flown from Archerfield to Caboolture via the light aircraft lane to the west of Brisbane in company with another aircraft. About five minutes after departing Archerfield, the pilot radioed that he was experiencing problems with both engines and that he was in an emergency situation. The pilot of the other aircraft advised him that there were suitable forced landing areas in and around a nearby golf course. However, the aircraft continued and slowly lost altitude before rolling inverted and diving steeply into the ground. Ground witnesses reported hearing loud backfiring and fluctuating engine RPM from the aircraft. These sounds were accompanied by erratic rolling and yawing of the aircraft before it rolled to the left and inverted. The right wing was severed outboard of the engine as the aircraft impacted a large tree before crashing onto a road.
Probable cause:
Wreckage examination revealed that the fuel selectors for both engines were set at the auxiliary tank positions, causing fuel for each engine to be drawn from the corresponding auxiliary tank in each wing. It was established that the aircraft had been refuelled to full main tanks prior to the flight. Further, the pilot had advised in a telephone conversation with an engineer before the flight that the contents of both auxiliary tanks was 60 litres or less. All fuel tanks except the left auxiliary tank were ruptured during the impact sequence. About one litre of fuel was recovered from this
tank. Examination of the aircraft engines indicated that the right engine was under power at impact while the left engine was not. The mechanical condition of the engines indicated that they were capable of normal operation.
The following factors are considered relevant to the development of the accident:
- The pilot did not use a written checklist.
- The pilot operated the aircraft with the auxiliary tanks selected when the fuel contents of these tanks was low.
- The pilot failed to conduct a forced landing.
Final Report:

Crash of a Swearingen SA226AC Metro II in Mackay

Date & Time: Apr 14, 1993 at 0525 LT
Type of aircraft:
Operator:
Registration:
VH-UZS
Flight Type:
Survivors:
Yes
Schedule:
Brisbane - Mackay
MSN:
TC-320
YOM:
1979
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2670
Captain / Total hours on type:
181.00
Circumstances:
The aircraft was operating a freight charter flight, cruising normally at an altitude of 20,000 ft (FL200), when, about 150 km south-east of Mackay, the left engine lost power and could not be restarted. During the subsequent landing on runway 14 at Mackay, the pilot attempted a single engine go-around when he suddenly had the (mistaken) impression that the landing gear was not down. He temporarily lost control of the aircraft but recovered to touch down on the flight strip to the left of the runway, some 500 m before the runway end. During the landing roll, the landing gear collapsed and the aircraft sustained substantial damage.
Probable cause:
The report concludes that the engine power loss was caused by failure of the fuel pump high pressure relief valve. The pilot, believing that the landing gear was still retracted, initiated action to avoid a wheels-up landing. This action was initiated too late in the landing approach for a successful outcome.
Final Report:

Crash of a Beechcraft 65-A80 Queen Air near Biloela: 1 killed

Date & Time: Aug 7, 1985 at 0350 LT
Type of aircraft:
Operator:
Registration:
VH-FDR
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Brisbane - Rockhampton
MSN:
LD-234
YOM:
1965
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
This aircraft had only recently been acquired by the company. It had a fuel system different to other aircraft of the same type in the fleet. On the other aircraft there were three detents for each fuel selector, On, Off, Crossfeed. On this aircraft there were four detents, Off, Outboard, Inboard, Crossfeed. The pilot had not previously flown this aircraft. After a flight time of about 110 minutes the pilot reported that both engines had stopped and he was unable to access fuel from the outboard tanks. When the wreckage was located no evidence of fuel was found in the inboard tanks. The pilot, sole on board, was killed.
Probable cause:
An inspection of the wreckage did not reveal any fault with the engines or fuel system which may have contributed to the occurrence. It was evident that the engines had stopped when the fuel from the inboard tanks was exhausted. A quantity of fuel remained in the outboard tanks. The day prior to this flight the pilot was briefed on the fuel system of VH-FDR by the company check pilot. The briefing was carried out with the use of the Pilots Operating Manual for the aircraft. Because VH-FDR was not available at the time, the pilot was not able to study the fuel management panel in daylight hours. It is not known if the pilot familiarised himself with the panel before commencing the flight. The aircraft is normally operated with the inboard tanks selected for takeoff. Evidence was obtained from flight documentation found in the wreckage which indicated that the pilot had changed the fuel selections from Inboard, about 30 minutes before he reported that the engines had stopped. However, the exhaustion of the fuel contained in the inboard tanks indicates that the selectors could not have been correctly positioned in the detents for the outboard tanks. Tests carried out found that if the selectors were positioned between the inboard and outboard detents, sufficient fuel, to allow the engines to be operated, would still be drawn from the inboard tanks. The reason the pilot was unable to access fuel from the outboard tanks could not be determined.
Final Report:

Crash of a Cessna 402 near Nagoorin: 1 killed

Date & Time: Feb 21, 1983 at 0405 LT
Type of aircraft:
Operator:
Registration:
VH-DIL
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Brisbane – Gladstone – Rockhampton
MSN:
402-0142
YOM:
1967
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
The aircraft was engaged in operating a night freight flight from Brisbane to Gladstone and Rockhampton. The pilot departed Rockhampton as a passenger in another company aircraft at about 2100 hours the night before the accident and was flown to Caloundra. He then flew VH-DIL to Brisbane and after arriving submitted a flight plan for the return flight to Rockhampton giving an estimated time of DEPARTURE Brisbane of 0230 hours. Before DEPARTURE, however, the pilot was required to await the arrival of another aircraft so that freight could be transhipped to his aircraft. DEPARTURE from Brisbane was made at 0301 hours and at 0400 hours the pilot reported the aircraft's position over Gayndah, the pilot was instructed to call on another radio frequency at 0410 hours. No further transmissions were heard from the aircraft. The wreckage was located two days later in mountainous terrain. The aircraft had impacted the ground in a near vertical attitude. Subsequent investigation did not reveal any fault with the aircraft or its systems that could have contributed to the accident. The day before the accident the pilot rose at about 0730 hours after spending the previous night and day at a friends property near Rockhampton. He spent the day at leisure at the property before returning to Rockhampton in the afternoon. After dining at his parents home he proceeded to the airport for the flight to Caloundra. Before departing Brisbane to return to Rockhampton the only sleep the pilot would have had was about an hour on the flight to Caloundra and possibly another short period at Brisbane Airport while waiting for his aircraft to be loaded.
Probable cause:
The cause of the in-flight loss of control of the aircraft could not be determined. The pilot had had inadequate rest prior to undertaking the flight.
Final Report:

Crash of a Cessna 411 in Brisbane: 5 killed

Date & Time: Jan 5, 1982 at 1201 LT
Type of aircraft:
Operator:
Registration:
VH-AYE
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Brisbane - Brisbane
MSN:
411-0288
YOM:
1969
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
2128
Captain / Total hours on type:
302.00
Aircraft flight hours:
4500
Circumstances:
At 1201 EST, shortly after taking off from Runway 10L at Archerfield Airport, the airplane crashed into an annex attached to a Thiess Contractors workshop located in Kerry Road, Archerfield. The accident site was 455 metres east-north-east from the departure end of the runway. The pilot and four workmen taking their lunch break in the annex were killed. The aircraft and the annex were destroyed by impact forces and the following explosion and fire. The accident occurred during a test flight following corrective maintenance. The aircraft had completed a periodic inspection on 23 December 1981 but, during the next 10 days, a problem was experienced with the control of the left hand propeller. Following maintenance on 4 January to rectify the problem, the pilot elected to test fly the aircraft prior to its intended use for endorsement training at 1500 hours on the day of the accident.
Probable cause:
The cause of the accident was that following a reduction of power from the left engine, the pilot failed to maintain flying speed. The cause of the reduction of power was not determined. The accident may have been avoided if the pilot had employed the correct procedures following a reduction of power from the left hand engine.
Final Report:

Crash of a De Havilland DH.89B Dominie in Brisbane

Date & Time: Oct 25, 1965
Operator:
Registration:
VH-BIF
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Brisbane - Brisbane
MSN:
6903
YOM:
1945
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Crashed in unknown circumstances at Brisbane-Archerfield Airport while completing a local training flight with skydivers. Both occupants were uninjured while the aircraft was considered as damaged beyond repair.

Crash of a De Havilland DH.83 Fox Moth in Miles

Date & Time: Mar 20, 1945
Operator:
Registration:
A41-4
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Brisbane – Dulacca
MSN:
4048
YOM:
1933
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The pilot, sole aboard, was performing a flight from Brisbane-Archerfield Airport to Dulacca, Queensland. While approaching Miles, he encountered unspecified problems and was forced to attempt an emergency landing when the single engine airplane hit power cables and crashed in a field. The pilot was injured and the aircraft was written off.

Crash of a De Havilland DH.86 Express near Brisbane: 9 killed

Date & Time: Feb 20, 1942 at 0830 LT
Type of aircraft:
Operator:
Registration:
VH-USE
Flight Phase:
Survivors:
No
Schedule:
Brisbane – Mount Isa – Darwin
MSN:
2309
YOM:
1935
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
7
Pax fatalities:
Other fatalities:
Total fatalities:
9
Circumstances:
The airplane was late and departed Brisbane-Archerfield with two hours delay. Few minutes after takeoff, it entered an area of clouds with heavy rain falls. It entered an uncontrolled descent, spiraled to the ground and crashed in a wooded area located in Belmont (Mount Petrie), some 13 km south of Archerfield Airport. All nine occupants were killed.
Crew:
Cpt Charles Henry Cecil Swaffield,
C/O Lindsay Stuart Marshall.
Photo: www.ozatwar.com
Probable cause:
Three quarters of the fin had been found quite some distance from the main wreckage of the aircraft. Nevertheless, the subsequent official inquiry into the loss was inconclusive.

Crash of a De Havilland DH.60G Gipsy Moth in Brisbane

Date & Time: Jul 14, 1941
Type of aircraft:
Operator:
Registration:
A7-85
Flight Type:
Survivors:
Yes
Schedule:
Brisbane - Brisbane
MSN:
540
YOM:
1928
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The single engine aircraft crashed for unknown reasons upon landing at Brisbane-Archerfield Airport. Both pilots were uninjured and the airplane was damaged beyond repair.