Crash of a Piper PA-31-350 Navajo Chieftain in Port Macquarie

Date & Time: Apr 13, 1985 at 1550 LT
Operator:
Registration:
VH-AOX
Flight Phase:
Survivors:
Yes
Schedule:
Port Macquarie – Coffs Harbour
MSN:
31-7852049
YOM:
1978
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
8
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The pilot reported that shortly after the aircraft became airborne, he noted a substantial change in propeller pitch noise and an associated loss of performance. Insufficient runway remained to permit a landing straight ahead. The pilot raised the landing gear and flap, however the aircraft failed to climb and the airspeed decayed to below the safe single engine speed. The take-off attempt was abandoned and a forced landing was carried out off the end of the runway. The rear fuselage impacted heavily on a dirt bank 78 metres beyond the runway threshold, following which the aircraft passed through a fence and slid for a further 78 metres before coming to rest. All nine occupants escaped uninjured.
Probable cause:
No fault was subsequently found with the engines or systems of the aircraft which might have explained the reported loss of performance. Calculations indicated that the weight of the aircraft at the time of take-off was close to the maximum allowable, but the centre of gravity was aft of the rear limit. Several of the passengers indicated that the aircraft rotated sharply to an unusually high nose attitude as it became airborne. The pilot's action in raising the flap when he perceived the power loss was contrary to the emergency procedures for the type, and probably resulted in sink and a further reduction in airspeed.
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 Britten-Norman BN-2A-21 Islander in Wilton

Date & Time: Nov 25, 1984 at 1248 LT
Type of aircraft:
Operator:
Registration:
VH-ISI
Flight Phase:
Survivors:
Yes
Schedule:
Wilton - Wilton
MSN:
329
YOM:
1973
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
12
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
At a height of about 200 feet after take-off the right engine lost power. The pilot feathered the propeller and commenced a gentle left turn in order to return to the strip. He later advised that the aircraft began to sink towards some large trees and he was forced to increase the angle of bank in an effort to avoid them. Shortly afterwards the aircraft struck the ground heavily in an adjacent paddock about 1 kilometre from the strip.
Probable cause:
The engine failure was caused by jamming of accessory drive gearing as a result of the effects of excessive wear within a magneto. It was probable that a mandatory inspection of the magneto which fell due 84 flying hours before the accident, was not conducted. On take-off the aircraft weight exceeded the authorised limit, however following the engine failure the pilot was able to maintain straight and level flight. A cleared area of ground lay ahead and just to the left of the flight path but the pilot had considered the aircraft had sufficient performance capability to permit a return to the trip.
Final Report:

Crash of a De Havilland DHC-2 Beaver near Barham

Date & Time: Nov 10, 1984 at 0930 LT
Type of aircraft:
Operator:
Registration:
VH-IDH
Flight Phase:
Survivors:
Yes
Schedule:
Barham - Barham
MSN:
1534
YOM:
1963
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
At a height of approximately 50 feet after take-off the engine suddenly lost all power. The pilot was able to glide the aircraft over several drainage banks, two fences and an irrigation canal but a high rate of descent developed and the aircraft landed heavily and overturned. Fire broke out and the central section of the fuselage was burnt out. The pilot, sole on board, was slightly injured.
Probable cause:
The investigation was hampered by the extent of fire damage and the cause of the loss of engine power was not positively established.
Final Report:

Crash of a Rockwell Shrike Commander 500S off Norfolk Island: 1 killed

Date & Time: Sep 11, 1984
Operator:
Registration:
N9031N
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Pago Pago – Norfolk Island – Sydney
MSN:
500-1867-43
YOM:
1969
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
After takeoff from Norfolk Island Airport, while climbing, the twin engine aircraft lost height and crashed into the sea. The pilot, sole on board, was killed.

Crash of a Cessna 340A in Goulburn: 4 killed

Date & Time: May 16, 1984 at 2304 LT
Type of aircraft:
Operator:
Registration:
VH-BYB
Flight Type:
Survivors:
No
Site:
Schedule:
Sydney - Goulburn
MSN:
340A-0411
YOM:
1978
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
4
Circumstances:
Prior to departure the pilot had received a weather forecast which indicated that fog could be expected at the destination. Adequate fuel was carried in the aircraft tanks to allow for a considerable period of holding and/or a diversion to another aerodrome if required. After an apparently normal flight of 35 minutes the aircraft arrived in the Goulburn area and the pilot reported his intention to carry out a standard instrument approach. The manoeuvres associated with this procedure do not involve flight over the city of Goulburn, however witnesses observed the aircraft as it circled over the city several times at a relatively low height. It was then seen to roll and descend steeply before striking two houses. A fierce fire broke out which engulfed the aircraft and both residences. The three persons on board the aircraft and a person in one of the houses received fatal injuries. A detailed inspection of the wreckage revealed that the camshaft of the left engine had failed in flight and the pilot had apparently feathered the propeller. The engine was not operating at the time of impact. No other defect or malfunction was discovered which might have contributed to the development of the accident. It was determined that the particular camshaft had failed from fatigue cracking, resulting from defective manufacture. It was considered likely that when the aircraft arrived over Goulburn, shallow fog obscured all or part of the aerodrome. The lights of the city would have been clearly visible and the pilot probably decided to use the city, rather than the nearby radio navigation aid, as a convenient holding point while waiting for conditions at the aerodrome to improve. During a series of left hand orbits, and after advising his intention to conduct an instrument approach, the pilot experienced a complete failure of the left engine. In order to realise the available single-engine performance of the aircraft the pilot had to perform a series of checks and actions which would result in the applicable propeller being feathered; any unnecessary aerodynamic drag being reduced; and an appropriate airspeed being established. It was determined that although the propeller had probably been feathered, the landing gear, which had evidently been lowered previously, had not been raised to reduce drag. In addition, an analysis of radar returns from the aircraft, recorded at Canberra, indicated that the airspeed at which the aircraft was flying shortly before radar contact was lost, was less than the optimum figure. The final manoeuvre described by witnesses was consistent with that which follows a loss of control in twin engine aircraft when power is being supplied by only one engine and the speed is below the minimum required for full control. The reason the pilot did not raise the landing gear and maintain the required minimum control speed could not be established.
Probable cause:
Failure of the left engine in flight due to defective manufacture of camshaft. The following contributing factors were reported:
- Fatigue failure of camshaft,
- Complete loss of power from left engine,
- Aircraft not reconfigured for optimum single engine performance,
- Airspeed fell below minimum for effective control,
- Insufficient height for recovery.
Final Report:

Crash of a Fletcher FU-24 in Stuart Mill

Date & Time: Feb 25, 1984 at 1557 LT
Type of aircraft:
Operator:
Registration:
VH-EOF
Flight Phase:
Survivors:
Yes
Schedule:
Stuart Mill - Stuart Mill
MSN:
2
YOM:
1954
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Shortly after take-off during a spreading operation the engine suddenly lost power. The pilot dumped the load and operated the fuel boost pump, however after a short burst of power the engine failed completely. The pilot was committed to a downwind landing and towards the end of the landing roll the aircraft ran into a gully and collided with tree stumps. The aircraft was damaged beyond repair and the pilot was slightly injured.
Probable cause:
The engine had failed from fuel exhaustion. The pilot was not aware of the amount of fuel added to the tanks at the previous refuelling and he had subsequently relied on the fuel gauge readings to assess the remaining endurance.
Final Report:

Crash of a Cessna 500 Citation in Proserpine: 2 killed

Date & Time: Feb 20, 1984 at 2016 LT
Type of aircraft:
Operator:
Registration:
VH-FSA
Flight Type:
Survivors:
No
Schedule:
Cairns – Townsville – Proserpine – Brisbane
MSN:
500-0237
YOM:
1974
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
The aircraft was engaged on a night freighter service from Cairns (CNS) to Brisbane (BNE) with intermediate stops at Townsville (TSV) and Proserpine (PPP). The flight departed Cairns at 18:47 hours. After arriving at Townsville the aircraft was refuelled and additional freight loaded before departing for Proserpine at 19:47 hours. The aircraft was cleared to track direct to Proserpine on climb to FL250. At 20:08 hours the pilot reported that the aircraft had left FL250 on descent into Proserpine and requested a clearance to track to intercept the 310 omni radial inbound for a DME Arrival. This request was approved and a short time later the aircraft reported established on the radial. At 20:16 hours, in answer to a question from Townsville Control, the aircraft reported at 2600 feet and was instructed to call Townsville Flight Service Unit. The aircraft complied with this instruction, and after the initial contact no further transmissions were received from the aircraft. The wreckage was located approximately 4 kilometres north-west of the threshold of runway 11 and in line with that runway. The aircraft had been destroyed by impact forces and the ensuing fire. A witness, who lived near the final approach path of the aircraft, reported that she observed the aircraft when it was on final approach. Analysis of her observations indicated that when she sighted the aircraft it was at a lower height than normal for the type of approach that the pilot reported would be flown. At the time of the sighting she did not notice anything unusual about the operation of the aircraft. Other persons at the Proserpine Aerodrome at the time of the accident reported rainstorms and strong winds in the vicinity.
Probable cause:
An inspection of the aircraft and its systems did not reveal any defect that could have contributed to the accident. Despite the extensive investigation, no evidence could be found to indicate why the aircraft was below the normal glide path during the approach.

Crash of a Rockwell Aero Commander 685 near Ben Lomond: 1 killed

Date & Time: Jan 20, 1984 at 0825 LT
Operator:
Registration:
VH-MML
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Armidale – Glen Innes
MSN:
685-12054
YOM:
1973
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
During the flight the pilot reported that he would descend to cruise at 500 feet above ground level. Witnesses saw an aircraft at low level on the expected track, and others heard aircraft noise and then the sound of an impact. Weather conditions were overcast with low cloud covering the hills. The wreckage was found at an elevation of about 4,300 feet above mean sea level. The aircraft had apparently struck the ground while in a steep nosedown attitude and rotating to the right. A fire had broken out and engulfed the wreckage. The pilot, sole on board, was killed.
Probable cause:
Investigation did not reveal any defect or malfunction of the aircraft which might have contributed to the development of the accident. Both engines were operating at high power settings and the gear and flaps were up. The aircraft had been operating under the Instrument Flight Rules when the pilot reported his intention to descend. Conditions at the destination were suitable for visual flight, and the reason the pilot elected to proceed at a low height above the ground was not determined. It was likely that while cruising below the cloud, the pilot was suddenly confronted by localised adverse weather conditions in the vicinity of the accident site. The maintenance of control of the aircraft under these conditions should have presented little problem to the pilot, who was suitably qualified to operate in instrument conditions. In these circumstances, the precise sequence of events leading to the evident loss of control of the aircraft could not be established.
Final Report:

Crash of a Pilatus PC-6/B1-H2 Turbo Porter in Point Cook: 1 killed

Date & Time: Dec 7, 1983
Operator:
Registration:
A14-702
Flight Phase:
Flight Type:
Survivors:
No
MSN:
725
YOM:
1969
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Aircraft flight hours:
7267
Circumstances:
The pilot, sole on board, was completing a demo flight at RAAF Point Cook. While making a low pass, he lost control of the aircraft that stalled and crashed, bursting into flames. The pilot was killed.