Date |
Occurrence # |
Location |
State |
Aircraft |
Model |
Engine |
Model |
Summary |
12/10/2015 |
OCC0452 |
Boonah |
QLD |
Tecnam |
P-96 Golf |
Rotax |
912 ULS |
OCCURRENCE DETAILS SUBMITTED TO RAAUS: DEFECT: Both Engine Bearer Plates were found to be cracked on...
|
OCCURRENCE DETAILS SUBMITTED TO RAAUS: DEFECT: Both Engine Bearer Plates were found to be cracked on 100 hourly inspection.
OUTCOME: Technical Manager contacted manufacturer to reported this issue with engine bearer plates. This is the first report of this type identified to RAAus and the manufacturer. No further action this time however if other maintainers identify similar defects RAAus will contact the factory immediately for further action. |
10/10/2015 |
OCC0468 |
Bairnsdale |
VIC |
Alpi Aviation |
Pioneer |
Jabiru |
3300 |
OCCURRENCE DETAILS SUBMITTED TO RAAUS: DEFECT: Right wing rear spar had no attachment and had nil su...
|
OCCURRENCE DETAILS SUBMITTED TO RAAUS: DEFECT: Right wing rear spar had no attachment and had nil support, this allowed over 1" of up & down movement at the trailing edge. LH wing had wedge bashed in to eliminate movement. Severe corrosion on bolts holding tail plane.
OUTCOME: This is an amateur built aircraft. Maintenance errors will be addressed with training and the release of Technical Manual Issue 4. The L2 has rectified the current issue. |
6/10/2015 |
OCC0453 |
Port Macquarie |
NSW |
Aeroprakt |
A22 LS Foxbat |
Rotax |
912 U L S |
The aircraft landed hard, resulting in a collapsed nose landing gear.
OUTCOME: CFI followed up with...
|
The aircraft landed hard, resulting in a collapsed nose landing gear.
OUTCOME: CFI followed up with pilot the control issues that occurred during this incident. |
5/10/2015 |
OCC0467 |
Oakey |
QLD |
Austflight ULA |
Drifter A-582 |
Rotax |
582 |
The aircraft had been refuelled by Jerry-can and fuel drain carried out with no visible contaminatio...
|
The aircraft had been refuelled by Jerry-can and fuel drain carried out with no visible contamination. Departure was from a private strip and after traveling east to another private strip an approach was made from the west and a go around conducted, followed by an approach from the east, no attempt to land was made. On climb out to the West at approximately 300 feet AGL, the engine stopped. The aircraft was turned into wind and lined up with furrows in an open paddock, a brief attempt to restart was made during the turn. An uneventful landing was carried out.
OUTCOME: Appropriate emergency actions were taken following engine failure to land aircraft safely. Appropriate fuel practices were carried out operationally. Aircraft is normally trailered at YBOK. The aircraft had been parked assembled outside one week earlier, Normal fuel drains were conducted pre-flight. Technical - Following the accident the carburettor bowls and fuel cells showed evidence of water that was not detected in the pre-flight. Complete fuel system was cleaned and flushed. The no1 cylinder showed signs of seizure and was repaired accordingly. A subsequent test flight was conducted and was successful and all engine operations normal.
All pilots must ensure appropriate fuel sampling is conducted pre-flight based on the design of the fuel system and its likelihood to ingest water when secured in open environments. Poor sealing and open venting systems are common causes of water ingress in flight fuel systems. |
4/10/2015 |
OCC0492 |
Cessnock |
NSW |
Tecnam |
Sierra P2002JF |
Rotax |
912 S |
OCCURRENCE DETAILS SUBMITTED TO RAAUS: DEFECT: Electric elevator trim runaway. During flight the Pil...
|
OCCURRENCE DETAILS SUBMITTED TO RAAUS: DEFECT: Electric elevator trim runaway. During flight the Pilot operated up-trim. After releasing the up-trim button (located on the head of the control stick) the aircraft continued to change attitude. The trim electric isolation switch was moved to 'off' and control was held with some effort. The stick trim selector was moved to the co-pilot and trim isolator set to 'on'. Retrim was possible by using the buttons on the co-pilot control stick. The fault was later found to be a faulty up-trim switch in the pilots stick. Both up and down switches were replaced and no further trouble has been identified.
OUTCOME: Switch was identified as the problem with no actual loss of primary flight control. |
3/10/2015 |
OCC0446 |
Barwon Heads Airport |
VIC |
TL Ultralight Co |
TL-96 Star |
Rotax |
912 U L S |
A landing approach on RWY26 (grass strip with medium length grass) in turbulent and gusting winds (e...
|
A landing approach on RWY26 (grass strip with medium length grass) in turbulent and gusting winds (estimated 25 kts) from a NWW direction resulted in a collapsed nose wheel. Hard landing due to windshear.
OUTCOME: Hard landing causing a nose wheel collapse due to weather. |
2/10/2015 |
OCC0517 |
Drysdale River Station |
WA |
Jabiru |
SP 500T |
Camit |
CAE3300 |
OCCURRENCE DETAILS SUBMITTED TO RAAUS: DEFECT: Pilot attempted to start the engine and the starter e...
|
OCCURRENCE DETAILS SUBMITTED TO RAAUS: DEFECT: Pilot attempted to start the engine and the starter engaged and remained engaged after pilot released the starter button. The stater tuned the engine until the battery was flat. Pilot removed and dismantled the starter solenoid. The solenoid return spring appear to be in perfect condition. after inspections it appeared that the copper contacts welded themselves together causing the starter to remain engaged.
OUTCOME: The solenoid and battery were replaced and the starter system now works properly. |
1/10/2015 |
OCC0448 |
Port Lincoln |
SA |
Jabiru |
J200 |
Jabiru |
3300 |
Fuel mismanagement. Pilot shut off wrong fuel tap.
OUTCOME: Pilot confirmed fuel starvation was the...
|
Fuel mismanagement. Pilot shut off wrong fuel tap.
OUTCOME: Pilot confirmed fuel starvation was the result of incorrect fuel system management. The pilot/owner advised the aircraft has a modified fuel tank system incorporating 3 separate fuel cells. 2 x 50L wing tanks and a centre fuselage 50L tank. All are separately tapped to allow PIC to regulate flow from wing tanks to original; primary tank. Pilot confirmed that having all tanks selected ON can overflow main tank and if wing tanks are empty and in ON position may introduce air into fuel system. |
29/9/2015 |
OCC0447 |
Alice Springs |
NT |
Sling |
Sling |
Rotax |
912 U L S |
OCCURRENCE DETAILS SUBMITTED TO RAAUS: DEFECT: Air intake plug drawn into induction system and found...
|
OCCURRENCE DETAILS SUBMITTED TO RAAUS: DEFECT: Air intake plug drawn into induction system and found resting on top of the air cleaner element.
OUTCOME: Reviewed and actioned by Tech Manager - Manufacturer is aware that plug could be drawn into intake and as such is modifying the plug. Additionally all Sling aircraft owners are being advised of issue with plug. |
22/9/2015 |
OCC0521 |
Amberley |
QLD |
Jabiru |
J230D |
Jabiru |
3300A |
Airspace Infringement - Pilot did not check NOTAMs or broadcast on the CTAF.
OUTCOME: Pilot complet...
|
Airspace Infringement - Pilot did not check NOTAMs or broadcast on the CTAF.
OUTCOME: Pilot completed a ground based review of RAAus CTA avoidance and planning, transponder use and NOTAM revision. |
20/9/2015 |
OCC1036 |
Pyramid Hill Airport |
VIC |
Bristell |
Bristell |
Rotax |
912 ULS |
A student indicated right brake failure on landing during a training flight. The instructor took ove...
|
A student indicated right brake failure on landing during a training flight. The instructor took over and completed landing without use of brakes. OUTCOME: The Technical Manager has reviewed this report and has addressed this to the LSA factory. The aircraft is L2-LAME maintained to a high standard. |
25/8/2015 |
OCC0451 |
Boonah |
QLD |
Tecnam |
P-96 Golf |
Rotax |
912 ULS |
OCCURRENCE DETAILS SUBMITTED TO RAAUS: DEFECT: Both nose wheel halves have cracks running through fi...
|
OCCURRENCE DETAILS SUBMITTED TO RAAUS: DEFECT: Both nose wheel halves have cracks running through five of the six attachment holes. Could only be seen when wheel halves were apart.
OUTCOME: Technical Manager contacted manufacturer to report this issue with nose wheels. This is the first report of this type identified to RAAus and the manufacturer. No further action this time however if other maintainers identify similar defects RAAus will contact the factory immediately for further action. |
10/8/2015 |
OCC0631 |
Turkey Creek |
WA |
Savannah |
S |
Rotax |
912 ULS |
While at Kununurra our group of four Savannah pilots consulted with a local tour operator as to how ...
|
While at Kununurra our group of four Savannah pilots consulted with a local tour operator as to how flights around the Bungles were conducted. During the flight a comfort stop was necessary. Checked ERSA and Turkey Creek was not listed. Being some distance from the Bungles the pilot assumed 126.7 would apply. Also checked ERSA under Warnum and couldn’t find that also. The R22 helicopter was spotted the by the lead aircraft so the other aircraft operators were all aware of its position and course. The pilot was surprised at the amount of air traffic at Turkey Creek considering it was not listed in the ERSA. Upon return to Kununurra a Chief Pilot pointed out to the four pilots of the Savannahs that Turkey Creek falls within the special CTAF zone of the Bungle Bungles.
OUTCOME: Operations reviewed this report and advise that when travelling to remote areas, or any flights into unfamiliar areas, pilots are reminded to contact local operators where possible for helpful local information and procedures. Many ALA's are unlisted in ERSA and the relevant state Country Airstrips guide published by AOPA is a useful resource in these instances. |
10/8/2015 |
OCC0632 |
Turkey Creek |
WA |
ICP |
Savannah |
Rotax |
912 U L S |
RAAus report of failed communication with a helicopter in vacinity of Turkey Creek Airfield. Prior t...
|
RAAus report of failed communication with a helicopter in vacinity of Turkey Creek Airfield. Prior to departing Kununurra the pilot had received a briefing from a local helicopter pilot for the mornings flying along the special procedures route for the Bungle Bungles and we were aware of the CTAF for the Special Procedures route (at this time the flight plan did not include a stop at Turkey Creek). The pilot was on the Bungle Bungle Purnululu National Park CTAF (127.3) communicating with flight of four Savannah's and other traffic until they departed the special procedures route to approach Turkey Creek Airfield. The pilot decided, last minute, to call into Turkey Creek for a much needed comfort stop. Unfortunately the ERSA did not list a CTAF for Turkey Creek and so the pilot went to 126.7 default CTAF to approach Turkey Creek (also monitoring Brisbane Centre 118.2). The pilot was unaware the Special Procedures route CTAF for Purnalulu and Bungle Bungles also included Turkey Creek Airfield, so broadcast all usual calls on 126.7. The pilot had a chopper visible for some time, who was below his aircraft by about three hundred feet and descending, on an almost a reciprocal course. The pilot climbed a couple of hundred feet and changed course slightly to maintain good separation. There was no risk of collision. There was no risk of a collision with flight of four Savannah's as the pilot advised each others in our flight of the choppers position and height and they all acknowledge they had it visual. The pilot received no response to radio call on 126.7 or 118.2 from the chopper (mistakenly no longer monitoring 127.3 per the ERC low). After returning to Kunnunurra the Chief Pilot of a Helicopter company pointed out to the pilots of the four Savannahs that Turkey Creek was still within the Bungle Bungle CTAF area as shown on the ERC low. The pilot was also pleased to be advised that there were a further two CTAF "area's" shown in the ERC low in Western Australia that most pilots were not aware of. OUTCOME: Operations reviewed this report and advise that when travelling to remote areas, or any flights into unfamiliar areas, pilots are reminded to contact local operators where possible for helpful local information and procedures. Many ALA's are unlisted in ERSA and the relevant state Country Airstrips guide published by AOPA is a useful resource in these instances. |
24/7/2015 |
OCC0701 |
Serpentine Airfield |
WA |
Hummelbird |
TBA |
VW |
1/2 VW |
What happened:
Pilot embarked for a local flight overhead the aerodrome. After take-off the engine ...
|
What happened:
Pilot embarked for a local flight overhead the aerodrome. After take-off the engine stopped suddenly without warning between 300 and 500 ft. The Pilot conducted a left hand turn for an assumed landing on the perpendicular grass runway. The aircraft did not make the runway and came to rest between two trees in the dense scrub surrounding the airfield. Aircraft was severely damaged and the pilot sustained serious injuries. The aircraft had 20 h and was recently purchased from the owner builder without inspecting the aircraft in person.
RAAus Findings
Two RAAus Accident Consultants attended the scene shortly after the accident due to being identified as a high risk accident and to determine the causal factors relating to the event. The Pilot sustained serious injuries and was attended to on the scene by the first responders administering first aid.
Operational Findings: The pilot uses a two part checklist for pre-take off safety actions for EFATO and established a best glide speed slightly to left of RWY23. The pilot was confident the aircraft remained in control and at minimum flight speed right up to impact. They did not attempt to turn back. A restart was attempted unsuccessfully. Due to the terrain upwind of RWY23 centreline the pilot’s normal procedure was to veer left to give greater options, given limited climb performance of this aircraft. The pilot was questioned on use of the alternate grass runway and does not use these due to limited power available from the aircraft VW engine. RWY23 is the main runway.
Operational Outcome: The pilot conducted all emergency procedures appropriately. Limited forced landing options with a satisfactory splay of the runway heading gave the pilot no option but to fly the aircraft as best as possible to the impact and required hospitalisation and the aircraft was destroyed.
Technical outcome: The aircraft is confirmed destroyed and the owner was not able to identify the cause of the failure however it was believed to be electrical due to the instantaneous failure. This is a 10 registered aircraft. To be registered in this category the aircraft must be single seat with a MTOW of 300Kg and a wing loading no greater than 30kg/m2. The aircraft cannot be flown over built up areas. There are no pre-flight final inspections required for registration as there is with 2 seat amateur built aircraft.
RAAus Actions:
To prevent reoccurrences with accidents and issues such as these the following procedures and publications are being made to ensure that these risks are reduced to ALARP:
• Mandatory L1 training for all owner maintainers with the implementation of Version 4 of the Technical Manual
• Safety month 2016 will feature the importance of first aid training for first responders at airfields
Safety Message:
Members are advised that aircraft that have marginalized climb performance due to configurations or environmental conditions, or any combination of these factors, may limit suitable options for the pilot in an emergency situation. These elements along with many others should always be factored into the pilots’ pre-flight assessment and considerations prior to flight. If the options are limited and the consequences are high then pilots need to make appropriate command decisions on if, when and where to fly. |