Australia

The Ted Smith Aerostar 601 aircraft, registered VH-WRF, departed Coolangatta at 1301 ESuT with a flight instructor and a commercial pilot on board. The aircraft was being operated on a dual training flight in the Byron Bay area, approximately 55 km south-south-east of Coolangatta. The aircraft was operating outside controlled airspace and was not being monitored by air traffic control. The weather in the area was fine with a south-easterly wind at 10 - 12 kts, with scattered cloud in the area with a base of between 2,000 and 2,500 ft. The purpose of the flight was to introduce the commercial pilot, who was undertaking initial multi-engine training, to asymmetric flight. At approximately 1445, the operator advised Australian Search and Rescue that the aircraft had not returned to Coolangatta, and that it was overdue. Recorded radar information by Airservices Australia revealed that the aircraft had disappeared from radar coverage at 1335. Its position at that time was approximately 18 km east-south-east of Cape Byron. Search vessels later recovered items that were identified as being from the aircraft in the vicinity of the last recorded position of the aircraft. Those items included aircraft checklist pages, a blanket, a seat cushion from the cabin, as well as a number of small pieces of cabin insulation material. No item showed any evidence of heat or fire damage. No further trace of the aircraft was found.

The aircraft took off from runway 24 right (24R) at Jandakot Airport, WA. One pilot and five passengers were on board the aircraft. The flight was being conducted in the aerial work category, under the instrument flight rules. Shortly after the aircraft became airborne, while still over the runway, the pilot recognized symptoms that he associated with a failure of the right engine and elected to continue the takeoff. The pilot retracted the landing gear, selected the wing flaps to the up position and feathered the propeller of the right engine. The pilot later reported that he was concerned about clearing a residential area and obstructions along the flight path ahead, including high-voltage powerlines crossing the aircraft’s flight path 2,400 m beyond the runway. The aircraft was approximately 450 m beyond the upwind threshold of runway 24R when the pilot initiated a series of left turns. Analysis of radar records indicated that during the turns, the airspeed of the aircraft reduced significantly below the airspeed required for optimum single-engine performance. The pilot transmitted to the aerodrome controller that he was returning for a landing and indicated an intention to land on runway 30. However, the airspeed decayed during the subsequent manoeuvring such that he was unable to safely complete the approach to that runway. The pilot was unable to maintain altitude and the aircraft descended into an area of scrub-type terrain, moderately populated with trees. During the impact sequence at about 1537, the outboard portion of the left wing collided with a tree trunk and was sheared off. A significant quantity of fuel was spilled from the wing’s fuel tank and ignited. An intense postimpact fire broke out in the vicinity of the wreckage and destroyed the aircraft. Four passengers and the pilot vacated the aircraft, but sustained serious burns in the process. One of those passengers died from those injuries 85 days after the accident. A fifth passenger did not survive the post-impact fire.

The aircraft impacted the sea or a reef about 6 km north-east of Coffs Harbour airport. The impact occurred immediately after the pilot initiated a go-around during an instrument approach to runway 21 in Instrument Meteorological Conditions (IMC) that included heavy rain and restricted visibility. Although the aircraft sustained structural damage and the left main gear detached, the aircraft remained airborne. During the initial go-around climb, the aircraft narrowly missed a breakwater and adjacent restaurant at the Coffs Harbour boat harbour. Shortly after, the pilot noticed that the primary attitude indicator had failed, requiring him to refer to the standby instrument to recover from an inadvertent turn. The pilot positioned the aircraft over the sea and held for about 30 minutes before returning to Coffs Harbour and landing the damaged aircraft on runway 21. There were no injuries or any other damage to property and/or the environment because of the accident. The aircraft was on a routine aeromedical flight from Sydney to Coffs Harbour with the pilot, two flight nurses, and a stretcher patient on board. The flight was conducted under instrument flight rules (IFR) in predominantly instrument meteorological conditions (IMC). During the descent, the enroute air traffic controller advised the pilot to expect the runway 21 Global Positioning System (GPS) non-precision approach (NPA). The pilot reported that he reviewed the approach diagram and planned a 3-degree descent profile. He noted the appropriate altitudes, including the correct minimum descent altitude (MDA) of 580 ft, on a reference card. A copy of the approach diagram used by the pilot is at Appendix A. The aerodrome controller advised the pilot of the possibility of a holding pattern due to a preceding IFR aircraft being sequenced for an instrument approach to runway 21. The controller subsequently advised that holding would not be required if the initial approach fix (SCHNC)2 was reached not before 0825. At about 0818, the aerodrome controller advised the pilot of the preceding aircraft that the weather conditions in the area of the final approach were a visibility of 5000 m and an approximate cloud base of 1,000 ft. At 0825 the aerodrome controller cleared the pilot of the King Air to track the aircraft from the initial approach fix to the intermediate fix (SCHNI) and to descend to not below 3,500 ft. The published minimum crossing altitude was 3,600 ft. About one minute later the pilot reported that he was leaving 5,500 ft and was established inbound on the approach. At 0828 the pilot reported approaching the intermediate fix and 3,500 ft. The controller advised that further descent was not available until the preceding aircraft was visible from the tower. At 0829 the controller, having sighted the preceding aircraft, cleared the pilot of the King Air to continue descent to 2,500 ft. The pilot advised the controller that he was 2.2 NM from the final approach fix (SCHNF). At that point an aircraft on a 3-degree approach slope to the threshold would be at about 2,500 ft. The controller then cleared the pilot for the runway 21 GPS approach, effectively a clearance to descend as required. The pilot subsequently explained that he was high on his planned 3-degree descent profile because separation with the preceding aircraft resulted in a late descent clearance. He had hand flown the approach, and although he recalled setting the altitude alerter to the 3,500 ft and 2,500 ft clearance limits, he could not recall setting the 580 ft MDA. He stated that he had not intended to descend below the MDA until he was visual, and that he had started to scan outside the cockpit at about 800 ft altitude in expectation of becoming visual. The pilot recalled levelling the aircraft, but a short time later experienced a 'sinking feeling'. That prompted him to go-around by advancing the propeller and engine power levers, and establishing the aircraft in a nose-up attitude. The passenger in the right front seat reported experiencing a similar 'falling sensation' and observed the pilot's altimeter moving rapidly 'down through 200 ft' before it stopped at about 50 ft. She saw what looked like a beach and exclaimed 'land' about the same time as the pilot applied power. The pilot felt a 'thump' just after he had initiated the go-around. The passenger recalled feeling a 'jolt' as the aircraft began to climb. Witnesses on the northern breakwater of the Coffs Harbour boat harbour observed an aircraft appear out of the heavy rain and mist from the north-east. They reported that it seemed to strike the breakwater wall and then passed over an adjacent restaurant at a very low altitude before it was lost from sight. Wheels from the left landing gear were seen to ricochet into the air and one of the two wheels was seen to fall into the water. The other wheel was found lodged among the rocks of the breakwater.During the go-around the pilot unsuccessfully attempted to raise the landing gear, so he reselected the landing gear selector to the 'down' position. He was unable to retract the wing flaps. It was then that he experienced a strong g-force and realised that he was in a turn. He saw that the primary attitude indicator had 'toppled' and referred to the standby attitude indicator, which showed that the aircraft was in a 70-degree right bank. He rapidly regained control of the aircraft and turned it onto an easterly heading, away from land. The inverter fail light illuminated but the pilot did not recall any associated master warning annunciator. He then selected the number-2 inverter to restore power to the primary attitude indicator, and it commenced to operate normally. The pilot observed that the left main landing gear had separated from the aircraft. He continued to manoeuvre over water while awaiting an improvement in weather conditions that would permit a visual approach. About 4 minutes after the King Air commenced the go-around, the aerodrome controller received a telephone call advising that a person at the Coffs Harbour boat harbour had witnessed an aircraft flying low over the harbour, and that the aircraft had '…hit something and the wheel came off'. The controller contacted the pilot, who confirmed that the aircraft was damaged. The controller declared a distress phase and activated the emergency response services to position for the aircraft's landing. Witnesses reported that the landing was smooth. As the aircraft came to rest on the runway, foam was applied around the aircraft to minimise the likelihood of fire. The occupants exited the aircraft through the main cabin door.

The pilot was conducting a charter positioning flight from Hamilton Island Marina to Whitehaven Beach, Whitsunday Island. At approximately 1615LT, pilot was landing the aircraft towards the south, about 600 metres off the beach, to avoid mechanical turbulence associated with terrain at the southern end of Whitehaven Beach. He reported that the approach and flare were normal, however, as the aircraft touched down on the right float, the aircraft swung sharply right and then sharply left. The left wing contacted the water, and the aircraft overturned. The pilot exited the upturned aircraft through the left rear passenger door and activated a 121.5 MHz distress beacon.

The Cessna 207 aircraft (C207) was engaged on a sightseeing flight from Cradle Mountain, to Lake St. Clair and return. On board were the pilot and 4 passengers. The flight departed Cradle Mountain at approximately 1310 ESuT and tracked direct to Lake St Clair at 7000 ft due to turbulence. The aircraft then returned to Cradle Mountain. At approximately 1404, as the aircraft was approaching the airfield, the pilot configured the aircraft for a straight in approach to strip 02. The pilot had selected two stages of flap, and had reduced power to approximately 19 inches of manifold pressure. He reported that at approximately half a mile from the airfield the engine stopped without any prior warning. After completing trouble checks, the pilot became aware that the aircraft would not reach the airfield. He then manoeuvred the aircraft towards an open area on his right while broadcasting a MAYDAY call. Melbourne air traffic control acknowledged this call. The pilot then completed additional trouble checks and changed the fuel tank selection, but the engine failed to respond. The aircraft touched down heavily on the main wheels and slid approximately 40 metres before coming to a stop. During the touchdown and subsequent ground slide, the nose wheel detached from the aircraft, the propeller was damaged and the right wing was partially separated from the airframe. After the aircraft stopped the pilot checked the passengers and discovered that two of them had suffered serious injuries.

The pilot of a Cessna 340 departed Bankstown, NSW at 1223 ESuT, for Townsville, Qld via Walgett, St George, Roma, Emerald and Clermont. He reported that he climbed the aircraft to 16,000 ft and adopted a long range power setting of about 49% which equated to a true air speed (TAS) of 168 kts and a fuel burn of 141 lbs per hour. As the pilot approached the ‘OLDER’ waypoint north of Clermont, he reviewed his fuel situation and, because of a strong tailwind decided to continue on to Cairns. He informed an enroute controller of his decision and requested, for fuel planning purposes, a clearance to allow him to track in the opposite direction on a one-way air route. The controller was unable to approve his request but offered the pilot a direct track to Biboohra, a navigation aid 20 NM west of Cairns. The pilot accepted the amended track with the intention of later requesting a more direct route to Cairns. About 15 minutes later, the pilot requested a more direct track, but was told to call the approach controller for a possible clearance. He contacted the approach controller and told the controller that he had minimum fuel. The controller asked the pilot if he was declaring an emergency, to which he replied affirmative. The pilot later commented that he did this in the hope of expediting his arrival. He was instructed to descend to 6,500 ft and track direct to Cairns. The controller asked the pilot if he preferred to join the runway 15 circuit via a left downwind or right downwind, to which the pilot requested to join a left downwind. The pilot later commented that the aircraft fuel flow gauges were indicating a total flow of 140 lbs per hour and the fuel quantity gauges for the selected main tanks, although wandering somewhat, were ‘displaying a healthy amount’ considering that he was about 12 NM from his destination. As the pilot approached 6,500 ft, he requested a clearance for further descent, to which the controller instructed the pilot to descend to 4,000 ft. As the aircraft descended to 4,000 ft, the pilot saw Cairns City, but could not see the runway at Cairns airport. The aircraft's distance measuring equipment (DME) indicated 9 NM to the DME navigation aid at Cairns Airport. The pilot reported that at about this time, he observed one of the fuel flow gauges indicating zero, while at the same time, one or both engines began to surge and run roughly. He immediately informed the controller of the situation. The controller asked the pilot if he was familiar with a local airstrip (Greenhill which is 10 NM to the southeast of Cairns airport), to which the pilot replied that he wasn't. The controller indicated to the pilot that the strip was situated in his two o'clock position at a range of about two miles and to be aware of power lines and the sugar cane. The pilot was unsure of what to look for and was unable to see the strip, but after conducting a number of steep turns, saw a cleared strip in a field. He decided that he had to land. He extended the landing gear, but realised that the aircraft was too high and attempted a 360-degree steep turn onto final to reposition the aircraft. However, the airspeed was rapidly decreasing and there was insufficient height to complete the approach. At 1729 EST, the aircraft impacted the ground short of the strip and slid for about 20 metres. The pilot was seriously injured and the passengers received minor injuries.

The Raytheon Beech 200C Super King Air, registered VH-FMN, departed Adelaide at 2240 hours Central Summer Time (CSuT) under the Instrument Flight Rules for Mount Gambier, South Australia. The ambulance aircraft was being positioned from Adelaide to Mount Gambier to transport a patient from Mount Gambier to Sydney for a medical procedure, for which time constraints applied. The pilot intended to refuel the aircraft at Mount Gambier. The planned flight time to Mount Gambier was 52 minutes. On board were the pilot and one medical crewmember. The medical crewmember was seated in a rear-facing seat behind the pilot. On departure from Adelaide, the pilot climbed the aircraft to an altitude of 21,000 ft above mean sea level for the flight to Mount Gambier. At approximately 2308, the pilot requested and received from Air Traffic Services (ATS) the latest weather report for Mount Gambier aerodrome, including the altimeter sub-scale pressure reading of 1012 millibars. At approximately 2312, the pilot commenced descent to Mount Gambier. At approximately 2324, the aircraft descended through about 8,200 ft and below ATS radar coverage. At approximately 2326, the pilot made a radio transmission on the Mount Gambier Mandatory Broadcast Zone (MBZ) frequency advising that the aircraft was 26 NM north, inbound, had left 5,000 ft on descent and was estimating the Mount Gambier circuit at 2335. At about 2327, the pilot started a series of radio transmissions to activate the Mount Gambier aerodrome pilot activated lighting (PAL).2 At approximately 2329, the pilot made a radio transmission advising that the aircraft was 19 NM north and maintaining 4,000 ft. About 3 minutes later, he made another series of transmissions to activate the Mount Gambier PAL. At approximately 2333, the pilot reported to ATS that he was in the circuit at Mount Gambier and would report after landing. Witnesses located in the vicinity of the aircraft’s flight path reported that the aircraft was flying lower than normal for aircraft arriving from the northwest. At approximately 2336 (56 minutes after departure), the aircraft impacted the ground at a position 3.1 NM from the threshold of runway (RWY) 18. The pilot sustained fatal injuries and the medical crewmember sustained serious injuries, but egressed unaided.

On 25 June 2004, the Australian Transport Safety Bureau released its final investigation report into an accident which occurred on 27 November 2001 at Toowoomba aerodrome, Qld, involving a Beech Aircraft Corporation King Air C90 aircraft, registered VH-LQH, which experienced an engine failure shortly after takeoff. The aircraft was destroyed and all four occupants sustained fatal injuries.

The Embraer EMB-110P1 Bandeirante, VH-OZG, departed from Sydney Kingsford Smith international airport at 0855 on 25 June 2001, on a single-pilot instrument flight rules (IFR) charter flight to Griffith. The nine occupants on board the aircraft included the pilot and eight passengers. At about 0945, while maintaining an altitude of 10,000 ft, the master caution light illuminated. At the same time, the multiple alarm panel ‘GENERATOR 2’ (right generator) warning light also illuminated, indicating that the generator was no longer supplying power to the main electrical bus bar. After resetting the generator and monitoring its output, the pilot was satisfied that it was operating normally. A short time later, the master warning light illuminated again. A number of circuit breakers tripped, accompanied by multiple master alarm panel warnings. The red ‘FIRE’ warning light on the right engine fire extinguisher ‘T’ handle also illuminated, accompanied by the aural fire alarm warning. The pilot reported that after silencing the aural fire alarm, he carried out the engine fire emergency checklist actions. However, he was unable to select the fuel cut-off position with the right fuel condition lever, despite overriding the locking mechanism using his left thumb while attempting to operate the lever with his right hand. He also reported that the propeller lever did not remain in the feathered detent, but moved forward, as if spring-loaded, to an intermediate position. After unsuccessfully attempting to select fuel cut-off with the right fuel condition lever, or feather the right propeller with the propeller lever, the pilot pulled the right ‘T’ handle to discharge the fire bottle. The amber discharge light illuminated and a short time later the fire alarm sounded again. Passengers reported seeing lights illuminated on the multiple alarm panel and heard the sound of a continuous fire alarm in the cockpit. At 0956, the pilot notified air traffic services (ATS) that there was a ‘problem’ with the aircraft, but did not specify the nature of that problem. Almost immediately the pilot transmitted a PAN radio call and advised ATS that there was a fire on board the aircraft. The nearest aerodromes for an emergency landing were not available due to fog, and the pilot decided to divert to Young, which was about 35 NM to the south east of the aircraft’s position at that time. The pilot advised ATS that the fire was extinguished, and that he was diverting the aircraft to Young. Two minutes later, the pilot repeated his advice to ATS stating that a fire in the right engine had been extinguished, and requested emergency services for the aircraft’s arrival at Young. The pilot informed one of the passengers that there was an engine fire warning, and that they would be landing at Young. The passengers subsequently reported seeing flames in the right engine nacelle and white smoke streaming from under the wing. Smoke had also started to enter the cabin in the vicinity of the wing root. The pilot subsequently reported that he had selected the master switch on the air conditioning control panel to the ‘vent’ position, and that he had opened the left direct vision window in an attempt to eliminate smoke from the cabin. When that did not appear to have any effect he closed the direct vision window. The pilot of another aircraft reported to ATS that Young was clear, but there were fog patches to the north. On arrival at Young, however, the pilot of the Bandeirante was unable to land the aircraft because of fog, and advised ATS that he was proceeding to Cootamundra, 27 NM to the south southwest of Young. The crew of an overflying airliner informed ATS that Cootamundra was clear of fog. ATS confirmed that advice by telephoning an aircraft operator at Cootamundra aerodrome. At 1017 thick smoke entered the cabin and the pilot transmitted a MAYDAY. He reported that the aircraft was 9 NM from Cootamundra, and ATS informed him that the aerodrome was clear of fog. The pilot advised that he was flying in visual conditions and that there was a serious fire on board. No further radio transmissions were heard from the aircraft. At 1021, approximately 25 minutes after first reporting a fire, the pilot made an approach to land on runway 16 at Cootamundra. He reported that when he selected the landing gear down on late final there was no indication that the gear had extended. The pilot reported that he did not have sufficient time to extend the gear manually using the emergency procedure because he was anxious to get the aircraft on the ground as quickly as possible. Unaware that the right main landing gear had extended the pilot advised the passengers to prepare for a ‘belly’ landing. He lowered full flap, selected the propeller levers to the feathered position and the condition levers to fuel cut-off. The aircraft landed with only the right main landing gear extended. The right main wheel touched down about 260 m beyond the runway threshold, about one metre from the right edge of the runway. During the landing roll the aircraft settled on the nose and the left engine nacelle and skidded for approximately 450 m before veering left off the bitumen. The soft grass surface swung the aircraft sharply left, and it came to a stop on the grass flight strip east of the runway, almost on a reciprocal heading. The pilot and passengers were uninjured, and vacated the aircraft through the cabin door and left overwing emergency exit. Personnel from a maintenance organisation at the aerodrome extinguished the fire in the right engine nacelle using portable fire extinguishers.

Four parachutists were practising as a team for a skydiving competition. They had completed seven parachute descents prior to the accident flight. Each descent had been video recorded by a cameraman using a helmet-mounted camera. The parachutists used a Cessna Aircraft Company Caravan aircraft. That aircraft was climbed to 14,000 ft with the team of four parachutists, their cameraman, six other parachutists and the pilot. At the drop altitude, the team members carried out their ‘pin check’ in which each parachutist’s equipment was checked to ensure that the release pins for the main and reserve parachutes were correctly positioned. Approaching overhead the drop zone, a roller blind, which covered the exit doorway on the left side of the aircraft, and minimised windblast during the climb, was raised. The cameraman positioned himself on the step outside and to the rear of the exit doorway. The first three members of the team positioned themselves in the exit doorway. The team member nearest to the front of the aircraft faced out and the next two members faced into the aircraft. The team member in the middle grasped the jumpsuits of the adjacent parachutists. The fourth member was inside the aircraft facing the exit. As the team exited the aircraft, the middle parachutist’s reserve parachute’s pilot chute deployed. Due to the bent over position of that parachutist, the action of the ejector spring in the pilot chute pushed the chute upwards and over the horizontal stabiliser of the aircraft, pulling the reserve canopy with it. The parachutist passed below the horizontal stabiliser resulting in the reserve parachute risers and lines tangling around the left elevator and horizontal stabiliser. Eleven seconds later, the empennage separated from the aircraft and the left elevator and the parachutist separated from the empennage. The parachutist descended to the ground with the reserve and main parachutes entangled and landed 800 metres west of the drop zone landing strip. A short section of the elevator was tangled in the parachute lines. The parachutist’s rate of descent was estimated to be 3.6 times greater than that for an average parachutist under canopy. Immediately after the empennage separated, the aircraft entered a steep, nose-down spiral descent. The pilot instructed the remaining parachutists to abandon the aircraft. The last one left the aircraft before it descended through 9,000 ft. The pilot transmitted a mayday call, shutdown the engine and left his seat. On reaching the rear of the cabin, he found that the roller blind had closed, preventing him from leaving the aircraft. After several attempts, the pilot raised the blind sufficiently to allow him to exit the aircraft, and at an altitude of approximately 1,000 ft above ground level, he deployed his parachute and landed safely. The aircraft, minus the empennage, descended almost vertically and crashed on the drop zone landing strip. It was destroyed by impact forces and the post-impact fire. The empennage, in several pieces, landed 600 metres west of the landing strip. A Country Fire Authority fire vehicle arrived at the accident site within two minutes of the accident and extinguished the fire. The parachutist that had been entangled was fatally injured. The injuries sustained when entangled on the horizontal stabiliser made the parachutist incapable of operating the main parachute. The other parachutists and the pilot were uninjured.