Country
code

Victoria

Crash of a GAF Nomad N.22B in Leongatha

Date & Time: Apr 5, 1990 at 0645 LT
Type of aircraft:
Registration:
VH-DNM
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Leongatha - Leongatha
MSN:
25
YOM:
1976
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
On completion of temporary repairs following a forced landing accident in a paddock, a permit to fly was issued authorising a ferry flight from the accident site to a nearby strip. During the take off roll the pilot was unable to maintain directional control and the aircraft crossed a drain before striking a fence and overturning. An inspection of the aircraft did not reveal any defect which could have contributed to the loss of directional control. Following the landing accident the property owner had rotary-hoed the paddock to a depth of 10 centimetres. Using a motor vehicle, the pilot compacted a 2.5 metre wide strip along the centreline of the paddock, which sloped approximately 3 degrees down to the north. At the time of the takeoff to the north the wind was from the north-east at 5 knots. The pilot selected a takeoff power setting of 53 percent of the maximum power available which effectively increased the take off ground roll required by approximately 170 metres.
Probable cause:
The investigation revealed that after a 50 metre ground roll the left main wheel entered the rotary-hoed area. The aircraft then veered further to the left before striking the fence and overturning.
The following factors were considered relevant to the development of the accident:
- The strip width was inadequate for the safe operation of the aircraft.
- The pilot did not maintain directional control during the take-off.
- The pilot delayed abandoning the take-off.
Final Report:

Crash of a Cessna 414A Chancellor near Wonthaggi

Date & Time: Oct 27, 1989 at 0833 LT
Type of aircraft:
Operator:
Registration:
VH-SDV
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Melbourne – Port Welshpool
MSN:
414A-0261
YOM:
1979
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The pilot reported that whilst enroute from Essendon to Wonthaggi he descended to the lowest safe altitude of 3600 feet above sea level, lowered the landing gear, reduced power and airspeed to counter the effect of turbulence and entered a holding pattern to the south south west of the Wonthaggi navigation aid. During the holding pattern the aircraft descended until it collided with trees that were 865 feet above sea level. The weather at the time included gale force winds, rain and low cloud. There were no thunderstorms or microbursts in the area, however, other aircraft reported a very low cloud base and severe turbulence. A few minutes prior to the accident ground witnesses, south south west of the accident site, reported an aircraft matching the description of VH-SDV, flying below a low, misty, ragged cloud base. There was no record of another aircraft in the area at the time. Information was available which indicated that the aircraft had descended below 3600 feet during the approach to Wonthaggi. The passengers reported that the pilot gave no indication of any problem or danger. Until the impact, they believed the aircraft was descending normally for a landing at Port Welshpool.
Probable cause:
No aircraft defects were found which may have been factors in the accident. The investigation indicates that the pilot attempted to fly under the low cloud base, in order to reach the Port Welshpool destination where weather conditions were earlier reported to have been partially sunny. Port Welshpool is not serviced by an approved navigation aid. The pilot attempted to descend below the cloud base, hoping to achieve visual flight conditions to continue to his destination.
Final Report:

Crash of a Beechcraft 65-B80 Queen Air in Tolmie: 1 killed

Date & Time: Jul 6, 1989 at 0341 LT
Type of aircraft:
Operator:
Registration:
VH-XAE
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Sydney - Melbourne
MSN:
LD-305
YOM:
1966
Location:
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
At 0341 hours EST on 6 July 1989, Beechcraft 80 Queen Air aircraft registered VH-XAE collided with high voltage power lines and descended rapidly, contacting the ground three kilometres north-east of Tolmie. The pilot, who was the only occupant, received fatal injuries. There was no fire. The aircraft was on a flight from Sydney to Melbourne cruising at 8000 feet. Persons in the accident area heard an aircraft flying very low over their houses, then observed a flash of light and heard the sound of ground impact. A ground search was commenced but due to falling snow and very poor visibility the wreckage was not found until about 0745 hours in daylight. The elevation of the ground at the accident site was approximately 2,700 feet above sea level.
Probable cause:
The exact cause of the accident could not be determined.
Final Report:

Crash of a Cessna 402A in Melbourne: 6 killed

Date & Time: Sep 3, 1986
Type of aircraft:
Registration:
VH-RED
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Melbourne - Leongatha
MSN:
402A-0130
YOM:
1969
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
6
Circumstances:
The flight was intended to return patients to their home area following medical treatment in Melbourne. After an apparently normal take-off, the aircraft ceased climbing at about 100 feet above ground level. In response to a query from the Tower, the pilot advised that the left engine had failed, that he was feathering the propeller and would return for landing. The aircraft was seen to be deviating to the left, towards a large array of power lines. These lines extend from about 40 feet to 90 feet above the ground, and as the aircraft converged with the array it was probably below the height of the upper wires. The aircraft then suddenly veered to the left and subsequently struck the ground in a steep nose-down attitude. A fire broke out on impact and destroyed much of the wreckage. The final manoeuvre performed by the aircraft was typical of that which occurs when one engine of a twin-engine aircraft is producing considerably less power than the other, and airspeed is reduced to below that required to maintain directional control. The pilot had reported that the left engine had failed, and the loss of control as described by witnesses was consistent with a reduction of power from this engine, combined with low airspeed.
Probable cause:
The investigation of the accident was hampered by the extent of the fire damage. However, an extensive technical examination did not reveal any evidence of a defect or malfunction with either the engines, the various systems or the airframe which might have contributed to the accident. Although the pilot had indicated that he was feathering the left propeller, it was determined that the propeller was not feathered at the time of the accident. It was not possible to establish if the pilot had subsequently elected not to initiate feathering action, or whether such action was initiated too late for it to be completed before impact with the ground. The reason for the loss of performance reported by the pilot could not be established. It is likely that while the aircraft was being manoeuvred to avoid the power lines and return for a landing, the airspeed decayed to below the minimum required to enable adequate control of the aircraft to be maintained. At the point where control of the aircraft was lost, there was insufficient height available for the pilot to effect recovery. The reason continued flight was attempted, rather than a controlled forced landing in open areas prior to the power lines, could not be determined.
Final Report:

Crash of a Piper PA-31-310 Navajo C in Benalla

Date & Time: Jul 16, 1986 at 1818 LT
Type of aircraft:
Operator:
Registration:
VH-UCK
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Benalla – Bankstown
MSN:
31-7712029
YOM:
1977
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
At the time of the attempted take-off, the night was dark, with overcast cloud conditions and light rain falling. Wind conditions were light and variable. The pilot reported that initial acceleration was normal, and the aircraft became airborne at about 95 knots. A positive rate of climb was established and the landing gear was selected up. The pilot subsequently advised that the speed then decayed to 90 knots. At this time there was nothing unusual in the engine noise and the controls felt normal. Shortly afterwards the propellers struck the ground 116 metres beyond the end of the runway. The aircraft then struck an embankment and passed through a fence before coming to rest 247 metres from the initial ground strike. All four occupants escaped with minor injuries and the aircraft was destroyed.
Probable cause:
Although wind conditions were light and variable when the engines were started, shortly after the accident the wind was moderate from the west/south-west. A detailed analysis conducted by the Bureau of Meteorology indicated that while the pilot was preparing for take-off, a cold front with winds in excess of 20 knots had probably passed over the aerodrome. As the pilot had conducted the take-off on runway 08, there was probably a substantial tailwind component. Conditions were also assessed as suitable for the development of microbursts, but the lack of recording instruments in the area prevented confirmation that this type of phenomenon had in fact occurred. The pilot had been deprived of the opportunity to observe changing wind conditions at the aerodrome. The wind direction indicator adjacent to the threshold of runway 08 was not lit, and the illuminated wind direction indicator was not visible from the point where the aircraft was lined up for take-off.
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 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.

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

Date & Time: Jan 26, 1981 at 1538 LT
Registration:
VH-POC
Flight Phase:
Survivors:
Yes
Schedule:
Portland - Melbourne
MSN:
31-7952087
YOM:
1979
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
9
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
815
Captain / Total hours on type:
83.00
Circumstances:
The operator had undertaken to carry out a ship's crew exchange programme that consisted of transporting 16 persons and their baggage from Portland to Essendon and the same number back to Portland. Similar programmes had been carried out previously and it was known that the passengers usually carried considerable baggage. However, only two Piper PA-31-350 aircraft, VH-POC and VH-RNH, were assigned to the task. Prior to departure Essendon, both pilots attended the Briefing Office and prepared flight plans, intended to operate under the Instrument Flight Rules and the pilots calculated it would be necessary to load 208 minutes fuel for the first return flight to Portland. This included an additional 30 minutes fuel for holding, as was required because of forecast thunderstorm activity, with associated reduced visibility in rain, in the Essendon area. Both pilots elected to have their aircraft refuelled to capacity which, they indicated on their flight plans, would give them a total of 280 minutes endurance; 72 minutes more than required. The aircraft proceeded to Portland without known incident, arriving at about 14:00 hours. After a break for refreshments, the pilots returned to their aircraft at about 1500 hours and carried out pre-flight checks. The passengers arrived at the aerodrome in a number of vehicles. Initially the pilots began to weigh the baggage and record the weights on a manifest. The passengers were in a light-hearted mood, however, and with an atmosphere of some confusion, not all of the baggage was weighed, the manifest was not completed and no individual weights were marked on the bags.The baggage was then transported by trolleys to the aircraft and shared between them without consideration of weight. The baggage in the rear baggage area of the cabin of VH-POC was not restrained to prevent movement. The pilots decided that, by inspection, the average baggage weight per passenger was 20 kg. The accepted standard weight of 77 kg per adult passenger was also assumed. Each pilot then completed a load sheet for his aircraft, on the basis of carrying eight passengers. The sheet for VH-POC indicated that the aircraft fuel load was 290 kg. The total weight calculated for VH-POC was 3,080 kg. This was less than the maximum allowable all-up-weight of 3,178 kg. However, an incorrect aircraft operating weight had been used and an arithmetical error had occurred in the calculation. Correcting for these, the aircraft weight should have been recorded as 3,256 kg. When ready to embark, the passengers were only directed towards the two aircraft. No effort was made to split the party into two even groups and in the event, nine passengers boarded VH-POC. On boarding VH-POC, the pilot did not correct the passenger imbalance. He started both engines and proceeded to taxi for a take-off on Runway 22. Pre-take-off checks were carried out as the aircraft taxied. The weather conditions at the time were fine; visibility 15 km, temperature 22° Celsius, sea level barometric pressure 1007 millibars and surface wind from 210° to 220° magnetic, gusting from 25 to 35 knots. In such wind conditions, and because of the location near a coastal headland, there was significant turbulence present. The pilot of VH-POC had operated into Portland on numerous prior occasions and had experienced this common situation previously. The take-off run was commenced and the pilot reported that full power was obtained from both engines. He stated that at 95 kts the aircraft was rotated and, when a positive rate of climb had been established, the landing gear was retracted. Then, at a height of 60 to 70 feet, just after he had reduced power to the climb setting, the left engine suddenly lost power. Ground witnesses who observed the take-off reported that the aircraft appeared slow to accelerate. Once airborne, it maintained a low climb profile and, at one stage, slewed to the right. Irregular engine noise was heard but it was not identified to a particular engine. The pilot reported that he confirmed a left engine failure by closing the left throttle. On fully re-opening the throttle, however, he noted a slight power response and hence he elected not to shut down the engine and feather the left propeller. Several of the passengers were aware of an abnormal situation but none was aware of the nature of the problem nor could confirm which engine was malfunctioning. They reported that the landing gear audio warning was sounding throughout most of the flight, which indicated a throttle was at or near the closed position. The pilot reported that the aircraft began to lose height and, as a forced landing was imminent, he turned to the right to avoid the sea. Control had been difficult in the gusty conditions but he had managed to reduce speed, lower the landing gear and guide the aircraft to a landing in a reasonably suitable area. The aircraft touched down on undulating-, sandy scrub-covered terrain. The landing gear and engines were torn out and the aircraft came to rest after travelling only some 26 metres. The fuselage broke open near the rear door during the ground slide. Some passengers were able to evacuate the cabin without assistance and they rendered help to the pilot and other passengers. A small fire, which had ignited in the vicinity of the left engine as the aircraft came to rest, then suddenly spread and engulfed the fuselage before the final passenger could be extricated. Subsequent examination of the wreckage was hampered by the extensive fire damage. No pre-existing fault was found in those components that were recovered. An inspection of the left propeller found that it had been feathered at ground impact. It was not possible to establish precisely the aircraft's weight and centre of gravity at the time of the accident as the contents of the nose and engine nacelles baggage compartments were destroyed. The available evidence, however, indicated that the aircraft weighed at least 3400 kg and its centre of gravity was probably beyond the aft limit. Piper PA31-350 performance data indicated that, for a new aircraft, the maximum attainable single-engine rate of climb at the limit weight of 3,178 kg was 220 feet per minute. At a weight of 3,400 kg this would be reduced by about 40 percent to 134 feet per minute. At the higher weight, detracting factors such as aircraft age, turbulence and less than optimum airspeed would have precluded the aircraft from achieving a positive rate of climb. The pilot was briefly interviewed in hospital on 27.1.81. At that time he also submitted a written notification of the accident. Subsequently, he has declined, through industrial counsel, to either attend for an interview under procedures of the Air Safety Investigation Branch or to supply answers to written questions. Hence it has not been possible to fully resolve a number of safety aspects of the accident, such as aircraft loading, the nature of the power loss and subsequent aircraft handling considerations.
Probable cause:
The probable cause of the accident was that the aircraft experienced a loss of power from one engine under conditions which precluded a safe continuation of flight. The two most significant conditions were aircraft overloading and turbulence. The nature and cause of the power loss have not been determined.
Final Report:

Crash of a De Havilland DHC-2 Beaver in Flowerdale: 1 killed

Date & Time: Feb 11, 1980
Type of aircraft:
Operator:
Registration:
VH-IDT
Flight Phase:
Survivors:
No
MSN:
1559
YOM:
1964
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
Crashed in unknown circumstances while engaged in a crop spraying mission. The pilot, sole on board, was killed.

Crash of a De Havilland DH.84 Dragon I in Point Cook: 1 killed

Date & Time: Dec 15, 1979
Type of aircraft:
Operator:
Registration:
VH-AGC
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Point Cook - Point Cook
MSN:
2045
YOM:
1943
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
Shortly after takeoff from Point Cook Airport on a local flight, while climbing, the twin engine airplane went out of control and crashed. The pilot, sole on board, was killed.