Crash of a Swearingen SA227AC Metro III in Canberra

Date & Time: Jul 1, 2006
Type of aircraft:
Operator:
Registration:
VH-VEH
Survivors:
Yes
MSN:
AC-663B
YOM:
1986
Country:
Region:
Crew on board:
0
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
By night, the twin engine aircraft landed hard at Canberra Airport. There were no injuries but the aircraft was damaged beyond repair.
Probable cause:
ATSB did not conduct any investigations on this event.

Crash of a Rockwell Grand Commander 690 off Sydney: 1 killed

Date & Time: Jan 14, 1994 at 0114 LT
Registration:
VH-BSS
Flight Type:
Survivors:
No
Schedule:
Canberra - Sydney
MSN:
690-11044
YOM:
1972
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1800
Captain / Total hours on type:
50.00
Aircraft flight hours:
7975
Circumstances:
On 14 January 1994 at 0114, Aero Commander 690 aircraft VH-BSS struck the sea while being radar vectored to intercept the Instrument Landing System approach to runway 34 at Sydney (Kingsford-Smith) Airport, NSW. The last recorded position of the aircraft was about 10 miles to the south-east of the airport. At the time of the accident the aircraft was being operated as a cargo charter flight from Canberra to Sydney in accordance with the Instrument Flight Rules. The body of the pilot who was the sole occupant of the aircraft was never recovered. Although wreckage identified as part of the aircraft was located on the seabed shortly after the accident, salvage action was not initially undertaken. This decision was taken after consideration of the known circumstances of the occurrence and of the costs of salvage versus the potential safety benefit that might be gained from examination of the wreckage. About 18 months after the accident, the wing and tail sections of the aircraft were recovered from the sea by fishermen. As a result, a detailed examination of that wreckage was carried out to assess the validity of the Bureau’s original analysis that the airworthiness of the aircraft was unlikely to have been a factor in this accident. No evidence was found of any defect which may have affected the normal operation of the aircraft. The aircraft descended below the altitude it had been cleared to by air traffic control. From the evidence available it was determined that the circumstances of this accident were consistent with controlled flight into the sea.
Probable cause:
Findings
1. The pilot held a valid pilot licence, endorsed for Aero Commander 690 aircraft.
2. The pilot held a valid multi-engine command instrument rating.
3. There was no evidence found to indicate that the performance of the pilot was adversely affected by any physiological or psychological condition.
4. The aircraft was airworthy for the intended flight, despite the existence of minor anomalies in maintenance and serviceability of aircraft systems.
5. The aircraft carried fuel sufficient for the flight.
6. The weight and balance of the aircraft were estimated to have been within the normal limits.
7. Recorded radio communications relevant to the operation of the aircraft were normal.
8. Relevant ground-based aids to navigation were serviceable.
9. At the time of impact the aircraft was capable of normal flight.
10. The aircraft was fitted with an altitude alerting system.
11. The aircraft was not fitted with a ground proximity warning system.
12. The aircraft was equipped with a transponder which provided aircraft altitude information to be displayed on Air Traffic Control radar equipment.
3.2 Significant factors
1. The pilot was relatively inexperienced in single-pilot Instrument Flight Rules operations on the type of aircraft being flown.
2. The aircraft was being descended over the sea in dark-night conditions.
3. The workload of the pilot was significantly increased by his adoption of a steep descent profile at high speed, during a phase of flight which required multiple tasks to be completed in a limited time prior to landing. Radio communications with another company aircraft during that critical phase of flight added to that workload.
4. The pilot probably lost awareness of the vertical position of the aircraft as a result of distraction by other tasks.
5. The aircraft was inadvertently descended below the altitude authorized by Air Traffic Control.
6. The secondary surveillance radar system in operation at the time provided an aircraft altitude readout which was only updated on every sixth sweep of the radar display.
7. The approach controller did not notice a gross change of aircraft altitude shortly after a normal radio communication with the pilot.
Final Report:

Crash of a Rockwell 500U Shrike Commander on Mt Barren Jack: 2 killed

Date & Time: Nov 18, 1989 at 1241 LT
Operator:
Registration:
VH-BMR
Flight Phase:
Survivors:
No
Site:
Schedule:
Canberra – Dalby
MSN:
500-1754-45
YOM:
1968
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
When the survey aircraft failed to arrive at the destination, and on expiry of the SAR time, a search was commenced. Wreckage of the aircraft was subsequently found on the eastern slope of Mt Barren Jack, to the north west of the mouth of Carrolls Creek, and on the planned track for the survey operation. Observers at the Burrinjuck reservoir near the mouth of Carrolls Creek described the weather in the accident area at the time as black clouds spilling over and obscuring the mountain tops. The aircraft collided with trees on the side of the mountain, while banked steeply to the right and in a tail low attitude. The pilot was thrown from the aircraft during the impact sequence. Medical opinion held that there was no evidence of body trauma consistent with the seat belt being fastened at the time of impact. The flight was completed on behalf of the Bureau of Mineral Resources (BMR) and both occupants were killed.
Probable cause:
Because of the destruction of the aircraft by the ensuing fire the status of the seat belt assemblies were unable to be determined. The investigation revealed that both engines were operating at high power at the time of impact. No malfunction or defect could be found with the aircraft which could have contributed to the accident. The survey task required the pilot to adhere strictly to a particular track and the target height for the flight was 500 feet above ground level while maintaining visual contact with the ground at all times. The pilot was suitably qualified to act as pilot in command of survey operations down to a height of 200 feet above ground level. The investigation concluded that the aircraft was being operated at a height substantially lower that 500 feet above ground level prior to the accident. Impact marks, wreckage and mechanical evidence suggest that the aircraft impacted terrain at a time when the pilot was attempting to carry out an evasive manoeuvre to remain clear of terrain. The reason why the aircraft was being operated at such a height and why the pilot delayed turning away from the steeply rising terrain could not be determined.
The following factors were reported:
- The pilot continued the flight into adverse weather conditions.
- The pilot flew the aircraft towards steeply rising terrain at a height substantially lower that 500 feet above ground level.
Final Report:

Crash of a Rockwell Aero Commander 500 in Goulburn

Date & Time: Dec 1, 1984 at 1051 LT
Registration:
VH-AGA
Survivors:
Yes
Schedule:
Canberra – Goulburn
MSN:
500-1253-77
YOM:
1962
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The aircraft was being used to transport equipment for members of an Aero Club, who were to carry out training at Goulburn. As the pilot was undergoing formation flying training, it was decided that he would lead a formation of two aircraft for the flight. A briefing on the procedures to be followed was carried out. During the flight the pilot of the second aircraft began to suspect the accuracy of his aircraft's airspeed indicator and requested that it be checked against that of the lead aircraft as the aircraft joined the circuit. The pilot of the lead aircraft extended the landing gear and flew the initial leg of the circuit at an indicated airspeed of 96 knots. At the end of this leg the pilot turned the aircraft steeply to the left, the nose dropped slightly and the aircraft flicked into a steep right turn. The aircraft then assumed a steep nose down attitude, however, the pilot was able to level the wings and raise the nose to the level attitude before impact. The impact occurred at a very high rate of sink. The pilot had not previously practiced steep turns at relatively slow airspeed and was not aware of the stalling speed in the given configuration and attitude. The pilot was subsequently unable to recall the reason for attempting a steeper than normal turn. When the aircraft stalled the pilot was unable to effect a full recovery in the height available before impact with the ground.
Final Report:

Crash of a Piper PA-31-350 Navajo Chieftain in Melbourne: 1 killed

Date & Time: Mar 30, 1978 at 0144 LT
Registration:
VH-MBK
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Melbourne - Canberra
MSN:
31-7405196
YOM:
1974
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
13017
Captain / Total hours on type:
1531.00
Circumstances:
The aircraft was based at Moorabbin Airport and, late in foe afternoon of 29.3.78, it was refuelled and a pre-flight inspection was carried out. The pilot ferried it to Melbourne Airport just after midnight. While he was preparing and submitting a flight plan for the flight to Canberra and return, the aircraft was loaded with newspapers and a small quantity of other freight. On returning to the aircraft, the pilot checked the loading documents and the freight and made a walk around inspection of the exterior of the aircraft. The pilot started the aircraft engines and established radio communication with air traffic control at 0139 hours. He was given a taxi clearance and an airways clearance for departure from runway 34. Upon request, he was granted approval to commence take-off from the taxiway "J" intersection, some 800 metres from the southern end of the runway. He reported "ready" at 0143 hours and was immediately given a clearance for take-off. The aircraft commenced to take-off, became airborne and, when it was at a height of 100 to 200 feet above the intersection of the two runways, the pilot advised "got a fire - fire in the ah starboard engine and ah doing a low circuit request two seven". Air traffic control immediately replied "make visual approach runway two seven clear to land". Acknowledgement of this clearance was the last communication received from the aircraft. As the aircraft passed over the northern end of runway 34 it commenced a turn to the right and gradually descended. It struck the ground in a right wing down attitude on a track of 070° magnetic and an intense fire broke out. The accident site was 1.8 kilometres to the north-east, and 88 feet above the elevation, of the northern end of runway 34. At the time of the accident the surface wind was 330°/9 knots, the visibility was 25 km in passing showers, there was 3 oktas stratus cloud base 1800 feet and 6 oktas cumulus cloud base 3500 feet. It is probable that below 1000 feet there was some wind shear, downdrafts from passing showers and intermittent moderate turbulence. It has been calculated that the gross weight of the aircraft was some 65 kilograms in excess of the maximum take-off weight and the centre of gravity was within limits. A detailed examination of the wreckage of the aircraft revealed that the landing gear and flaps were fully retracted, the cowl flaps of both engines were midway between the open and closed positions a considerable degree of nose left rudder trim was selected, the right engine was closed down and the propeller feathered. It was established that, as a result of excessively lean mixture operation, there was a hole burned through the piston rings and into the side of the No. 2 piston of the right engine. There was no evidence of fire within the engine but it was apparent that the hole in the piston had resulted in pressurisation of the crankcase cavity, ejection of the oil dipstick and the consequent venting of oil from the dipstick orifice and the engine breather pipe on to the exterior of the exhaust pipes. The engine had the capacity to continue to produce a substantial amount of power for a limited period. The turbo-charger density controller of the left engine was found to be incorrectly adjusted to the extent that the engine could develop only about 330 BHP instead of 350 BHP of which it was normally capable.
Probable cause:
The probable cause of the accident was that, believing there was an internal fire in the right engine, the pilot closed the engine down in circumstances where the single-engine performance capability of the aircraft proved to be insufficient to sustain continued flight.
Final Report:

Crash of a Vickers 720 Viscount off Sydney: 15 killed

Date & Time: Nov 30, 1961 at 1925 LT
Type of aircraft:
Operator:
Registration:
VH-TVC
Flight Phase:
Survivors:
No
Schedule:
Sydney – Canberra
MSN:
46
YOM:
1954
Flight number:
AN325
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
11
Pax fatalities:
Other fatalities:
Total fatalities:
15
Captain / Total flying hours:
16016
Captain / Total hours on type:
2748.00
Copilot / Total flying hours:
4145
Copilot / Total hours on type:
1731
Aircraft flight hours:
16946
Aircraft flight cycles:
12010
Circumstances:
The aircraft was engaged on a scheduled transport service from Sydney to Canberra. It carried a crew of four and eleven passengers. According to the approved flight plan, the pilot proposed to proceed to Canberra via the 222 track to Marulan, the first reporting point. At the time of departure this was changed, because of inbound traffic, to the 244 diversion, which avoids Botany Bay. At 1915:43 the Approach Controller instructed the flight to "continue runway heading to 3 000 ft before turning left and to pass over the field at 5 000 ft or above. The flight was then cleared for take-off from runway 07. At 1921:50 the Approach Controller asked the aircraft to report its altitude. It was at 6 000 ft. Shortly thereafter (at 1922:05) the controller communicated as follows:" . . . now if you haven't passed over the field you can proceed via the 217 from Padstow. The 222 is available, but I suggest the 217 due to the storm to the south of the field, report setting course from Padstow 217." The flight acknowledged at 1922:20 hours. None of the messages that followed from the Approach Controller were answered. Between 1925 and 1926 hours the aircraft plunged into Botany Bay, killing all aboard.
Probable cause:
During a descent in excess of 260 kt, the pilot's actions, when trying to regain control of the aircraft, caused the aircraft to exceed its stress limits. This factor together with speed and turbulence caused the starboard outer wing to fail.
Final Report:

Crash of a Douglas C-47B-35-DK in Canberra: 4 killed

Date & Time: Mar 19, 1957 at 2023 LT
Operator:
Registration:
A65-112
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Canberra - Canberra
MSN:
16555/33303
YOM:
1945
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
4
Circumstances:
Shortly after takeoff from runway 30 at Canberra Airport, while on a local training mission, the left engine lost power. Due to a technical issue on the regulator, the crew was unable to shot down the engine and to feather the propeller. The pilot-in-command continued to the south and while approaching Mt Pleasant, the airplane went out of control and crashed in flames at Duntroon, west of the airport. The aircraft was destroyed upon impact and all four crew members were killed.
Crew:
Cpt H. N.MacDonald, pilot,
F/Sgt N. H. Charlton, copilot,
Sgt I. A. Makrill, navigator,
Sgt M. C. Coombe, signaler.
Probable cause:
Loss of power on left engine after takeoff.

Crash of a Douglas C-47A-20-DK at Cowombat Ridge: 1 killed

Date & Time: Aug 24, 1954 at 1100 LT
Operator:
Registration:
A65-50
Flight Phase:
Flight Type:
Survivors:
Yes
Site:
Schedule:
Sale – Bathurst – Richmond – Canberra – Sale
MSN:
13082
YOM:
1944
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
The aircraft took off from Sale bound for Bathurst and Richmond. During the flight the starboard engine lost power but the plane was able to make a safe landing at Canberra. No cause for the engine failure could be found and the next morning the DC-3 departed Canberra for Sale (East Sale Airbase). At approximately 11am, just before reaching Mt Kosciuszko, the starboard engine again failed. This time however the plane lost altitude dramatically and was subject to severe turbulence. The only option was to attempt a forced landing. At that point an open flat appeared amongst the mass of forested mountains. Laurie Hawes and Bernie Mullen struggled to control the stricken aircraft while Frank Howie sent out a distress signal. They circled the flat and made their approach. Before the Dakota could land it had to clear a ridge which resulted in too much height and speed for landing on the open ground. The Murray River had to be negotiated, which runs across the flat as a small gully, as well as the severe turbulence and only one functioning engine. In the few remaining seconds Laurie made the decision to stall the plane into the timber on the south-western side of the flat. There was a group of three trees in a triangle, which he attempted to position the plane between. Hopefully they would take the force of the wings and nose. One of the trees was a little further forward than anticipated and as the Dakota hit the timber it skewed around. A large eucalyptus crashed into the cockpit destroying the starboard side where Bernie Mullen sat. The port wing sheared off and one of the blades of the starboard propeller sliced through the floor of the signaler's compartment. Finally the plane came to a halt. Laurie recalls "the silence was deafening". Frank and Eric escaped with slight lacerations and they released Laurie who was trapped by his legs and had sustained a deep laceration to his calf. All were suffering from shock but fearing an explosion they dragged the unconscious Bernie away from the wreckage. Nothing could be done for him. He had multiple injuries and died a few minutes after the impact. The survivors set about finding some shelter and wondered if they would be rescued from this remote location and when it might be. The weather was cold and miserable. The only shelter was the chimney of an old stockman's hut ruin on the northern side of the flat. Fortunately the distress signal that Frank sent immediately prior to the crash had been received. A little over one hour after impact a RAAF search plane piloted by Flight Sergeant Frank Daniel located the survivors. Through a series of weighted paper messages search planes were able to communicate with those on the ground and drop them survival rations. Two ground search parties then set out. The first was led by Omeo policeman Lionel Baddeley and contained several men with local knowledge, amongst them four of the Pendergasts, one of the local pioneering mountain families. The second party was the RAAF search party led by Group Captain W. N. Gibson. Baddeley's party camped out then pushed on in the early hours of August 26. They drove as far as they could and then continued on foot via an old overgrown mining track for another 10 miles. Late that morning they reached the survivors. After a short rest the long trek out began. The airmen were stiff, sore and no doubt still in shock. Their rescuers were tired having already covered the rugged, densely vegetated terrain. In addition they had to carry out Bernie Mullen's body on a bush stretcher made from saplings. All found the trip arduous. Just before nightfall they reached the vehicles. From there they drove to Benambra and spent the night at the pub. Frank Howie recalls "After the hospitality of the locals in the public bar no one needed rocking that night." The next day the airmen returned to Sale. Before long Laurie Hawes was flying again. It was business as normal and the flat at the headwaters of the Murray returned to its former tranquility. Nowadays there is little left of Dakota DC3, A65-50. The RAAF removed parts for the crash investigation and the Snowy Mountains Authority built a hut using materials salvaged from the shell. People wanting a souvenir of the site took the remainder piece by piece. With so little of the aircraft left, the story of Dakota DC-3, A65-50 was likely to be lost and with it another part of our alpine heritage. Historian's Noel Gough and Dianne Carroll have spent a great deal of time and effort researching this story and documenting it. They tracked down survivors of the crash and their rescuers and a reunion was held to mark the event on 15th and 16th March this year at the Benambra Hotel, where the aircrew was first taken after their ordeal. Staff attended the gathering from Alpine and Kosciuszko National Parks who now manage the grassy flat where the DC-3 came to rest. As one of the attendees at the reunion, it was a privilege to hear the survivors and rescuers recount their versions of the events first hand. A commemorative souvenir has been produced which gives a full account of this story. It is available from Dianne Carrol.
Crew:
F/Lt Laurie Hawes, pilot,
F/O Bernard Mullein, copilot, †
F/Lt Eric Walker, navigator,
P/O Frank Howie, signaler.
Source:
Amanda Carey Ranger
Namadgi National Park
ACT Parks & Conservation Service
Despite the credit given above to Gough and Carroll, it was Canberra historian Matthew Higgins who researched and wrote the story of the plane’s last flight, the crash, and the rescue. It is his article that appears in the commemorative souvenir booklet, though without adequate acknowledgement.
Probable cause:
Failure of the right engine in flight.

Crash of a Tugan LJW7 Gannet in Canberra

Date & Time: Jun 15, 1942 at 1325 LT
Type of aircraft:
Operator:
Registration:
A14-5
Flight Phase:
Flight Type:
Survivors:
Yes
MSN:
TA-59
YOM:
1937
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Shortly after takeoff from Canberra Airport, the port engine failed. The aircraft lost height, impacted trees and crashed 3 km from the runway end. The aircraft was destroyed and all four crew members were injured.
Crew:
F/Lt B. W. Graham,
Sgt R. C. Kupsch,
Sgt J. P. Craig,
Sgt G. G. Smith.
Probable cause:
Failure of the left engine after takeoff.

Crash of a Lockheed L-414 Hudson I in Canberra: 10 killed

Date & Time: Aug 13, 1940 at 1015 LT
Type of aircraft:
Operator:
Registration:
A16-97
Flight Type:
Survivors:
No
Schedule:
Melbourne – Canberra
MSN:
414-1951
YOM:
1940
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
10
Circumstances:
The aircraft was performing a flight from Melbourne-Moorabbin to Canberra on behalf of the Australian Government, carrying three Ministers and their staff. On final approach to Canberra in ideal weather conditions, the twin engine aircraft stalled and crashed in a huge explosion some 2 km short of runway. Emergency teams were promptly at the scene but nothing could be done to save the 10 occupants.
Crew:
F/L Robert Edward Hitchcock,
P/O Richard Frederick Wiesener,
Cpl John Frederick Palmer,
AC1 Charles Joseph Crosdale.
Passengers:
Brig Geoffrey Austin Street, Minister for the Army and Repatriation,
James Valentine Fairbairn, Minister for Air and Civil Aviation,
Sir Henry Somer Gullett, Vice-President of the Executive Council and Minister in charge of Scientific and Industrial Research,
Gen Sir Cyril Brudenell Bingham White, Chief of the General Staff,
Lt Col Francis Thornthwaite, Staff Officer to General White,
Richard Edwin Elford, Fairbairn's private secretary.
Probable cause:
The exact cause of the accident could not be determined with certainty. Nevertheless, the Board of Inquiry found that it was most likely due to the aircraft stalling on approach, resulting in loss of control at a height that was insufficient for recovery.