AIRCRAFT INCIDENT REPORT AND EXECUTIVE SUMMARY

Similar documents
AIRCRAFT ACCIDENT REPORT AND EXECUTIVE SUMMARY

AIRCRAFT INCIDENT REPORT AND EXECUTIVE SUMMARY

PARACHUTEACCIDENT REPORT AND EXECUTIVE SUMMARY

AIRCRAFT INCIDENT REPORT AND EXECUTIVE SUMMARY

AIRCRAFT ACCIDENT REPORT AND EXECUTIVE SUMMARY

AIRCRAFT ACCIDENT REPORT AND EXECUTIVE SUMMARY

AIRCRAFT ACCIDENT REPORT AND EXECUTIVE SUMMARY

AIRCRAFT ACCIDENT REPORT AND EXECUTIVE SUMMARY

AIRCRAFT ACCIDENT REPORT AND EXECUTIVE SUMMARY

AIRCRAFT ACCIDENT REPORT AND EXECUTIVE SUMMARY

AIRCRAFT ACCIDENT REPORT AND EXECUTIVE SUMMARY

AIRCRAFT INCIDENT REPORT AND EXECUTIVE SUMMARY

AIRCRAFT ACCIDENT REPORT AND EXECUTIVE SUMMARY

AIRCRAFT ACCIDENT REPORT AND EXECUTIVE SUMMARY

PRELIMINARY ACCIDENT REPORT

AIRCRAFT ACCIDENT REPORT AND EXECUTIVE SUMMARY

AIRCRAFT ACCIDENT REPORT AND EXECUTIVE SUMMARY

AIRCRAFT ACCIDENT REPORT AND EXECUTIVE SUMMARY

PRELIMINARY OCCURRENCE REPORT

PARAGLIDER ACCIDENT REPORT AND EXECUTIVE SUMMARY

AIRCRAFT ACCIDENT REPORT AND EXECUTIVE SUMMARY

AIRCRAFT ACCIDENT REPORT AND EXECUTIVE SUMMARY

AIRCRAFT ACCIDENT REPORT AND EXECUTIVE SUMMARY

Commercial Pilot Total Flying Hours

AIRCRAFT ACCIDENT REPORT AND EXECUTIVE SUMMARY

AIRCRAFT INCIDENT REPORT AND EXECUTIVE SUMMARY

AIRCRAFT INCIDENT REPORT AND EXECUTIVE SUMMARY

PT. Alfa Trans Dirgantara PA T ; PK SUV Halim Perdanakusuma Airport, Jakarta Republic of Indonesia 20 June 2010

GOVERNMENT OF INDIA INVESTIGATION REPORT

Aircraft Accident Investigation Report

AIRCRAFT ACCIDENT REPORT AND EXECUTIVE SUMMARY

PT. Merpati Nusantara Airlines CASA ; PK-NCZ Larat Airport, Maluku Republic of Indonesia 03 December 2011

AIRCRAFT ACCIDENT REPORT AND EXECUTIVE SUMMARY

AIRCRAFT INCIDENT REPORT AND EXECUTIVE SUMMARY

AIRCRAFT ACCIDENT REPORT AND EXECUTIVE SUMMARY

AIRCRAFT ACCIDENT REPORT OCCURRENCE NUMBER 03/1675 RAND KR-2 ZK-CSR 25 KM SOUTH WEST OF WOODBOURNE 8 JUNE 2003

REPUBLIC OF KENYA MINISTRY OF TRANSPORT AND INFRASTRUCTURE STATE DEPARTMENT OF TRANSPORT AIR ACCIDENT INVESTIGATION DEPARTMENT

National Transportation Safety Board Aviation Accident Final Report

AIRCRAFT ACCIDENT REPORT AND EXECUTIVE SUMMARY

AIRCRAFT ACCIDENT REPORT AND EXECUTIVE SUMMARY

F I N A L R E P O R T

AIRCRAFT ACCIDENT REPORT AND EXECUTIVE SUMMARY

National Transportation Safety Board Aviation Accident Final Report

AIRCRAFT ACCIDENT REPORT AND EXECUTIVE SUMMARY

Air Accident Investigation Unit Ireland. FACTUAL REPORT ACCIDENT Colibri MB-2, EI-EWZ ILAS Airfield, Taghmon, Co. Wexford

F I N A L R E P O R T

AIRCRAFT ACCIDENT REPORT AND EXECUTIVE SUMMARY

AIRCRAFT ACCIDENT REPORT AND EXECUTIVE SUMMARY

REPORT IN-017/2011 DATA SUMMARY

MINISTRY OF INFRASTRUCTURE STATE COMMISSION ON AIRCRAFT ACCIDENT INVESTIGATION FINAL REPORT. Serious Incident No: 518/07

PRELIMINARY OCCURRENCE REPORT

National Transportation Safety Board Aviation Accident Final Report

AIRCRAFT ACCIDENT REPORT AND EXECUTIVE SUMMARY

National Transportation Safety Board Aviation Accident Final Report

AIRCRAFT ACCIDENT REPORT OCCURRENCE NUMBER 03/249 PIPER TOMAHAWK PA ZK-USA RAUMATI SOUTH 31 JANUARY 2003

REPUBLIC OF NAMIBIA MINISTRY OF WORKS AND TRANSPORT DIRECTORATE OF AIRCRAFT ACCIDENT INVESTIGATION CIVIL AIRCRAFT INCIDENT REPORT

PRELIMINARY KNKT

PT. Merpati Nusantara Airlines De Havilland DHC Twin Otter; PK-NUH Dabra Airstrip, Papua Republic of Indonesia 17 October 2011

National Transportation Safety Board Aviation Accident Final Report

REPORT A-024/2012 DATA SUMMARY

National Transportation Safety Board Aviation Accident Final Report

FINAL REPORT ON THE ACCIDENT OCCURRED ON 10 MAY 2008 AT HARVENG ON A AVIAT HUSKY A-1 REGISTERED OO-HUS

National Transportation Safety Board Aviation Accident Final Report

National Transportation Safety Board Aviation Accident Final Report

National Transportation Safety Board Aviation Accident Final Report

National Transportation Safety Board Aviation Accident Final Report

National Transportation Safety Board Aviation Accident Final Report

National Transportation Safety Board Aviation Accident Final Report

National Transportation Safety Board Aviation Accident Final Report

REPORT IN-038/2010 DATA SUMMARY

FINAL REPORT ON ACCIDENT

National Transportation Safety Board Aviation Accident Final Report

Investigation Report

DEPARTMENT OF AIR ACCIDENT INVESTIGATION

Aircraft Accident Investigation Report

REPORT IN-011/2012 DATA SUMMARY

National Transportation Safety Board Aviation Accident Final Report

FINAL REPORT. Investigation into the incident of aircraft SAAB-SAFIR 91D, registration OE-KSS, at LKTB on 11 September Prague October 2005

National Transportation Safety Board Aviation Accident Final Report

AIRCRAFT ACCIDENT REPORT AND EXECUTIVE SUMMARY

Investigation Report. Identification. Factual information. German Federal Bureau of Aircraft Accidents Investigation. TX002-0/07 September 2008

National Transportation Safety Board Aviation Accident Final Report

National Transportation Safety Board Aviation Accident Final Report

National Transportation Safety Board Aviation Accident Final Report

ACCIDENT REPORT HELICOPTER AS350B2 REGISTRATION 5Y-HLI

National Transportation Safety Board Aviation Accident Final Report

National Transportation Safety Board Aviation Accident Final Report

National Transportation Safety Board Aviation Accident Final Report

National Transportation Safety Board Aviation Accident Final Report

Aircraft Accident Investigation Report Aero Flyer Institute Cessna 172 ; PK HAF Cakrabhuwana Airport, Cirebon, West Java Republic of Indonesia

FINAL REPORT ON THE SERIOUS INCIDENT INVOLVING AIRCRAFT CIRRUS SR-20, OE-DDD OCCURRING ON AUGUST 17, 2012 AT SPLIT AIRPORT

PRELIMINARY INCIDENT REPORT

National Transportation Safety Board Aviation Accident Final Report

Aircraft Accident Investigation Bureau of Myanmar

National Transportation Safety Board Aviation Accident Final Report

AIRCRAFT SERIOUS INCIDENT REPORT EXECUTIVE SUMMARY

National Transportation Safety Board Aviation Accident Final Report

National Transportation Safety Board Aviation Accident Final Report

F I N A L R E P O R T ON SERIOUS INCIDENT OF THE AIRCRAFT SR-20, REGISTRATION D-ELLT, WHICH OCCURED ON MAY , AT ZADAR AIRPORT

National Transportation Safety Board Aviation Accident Final Report

Transcription:

Section/division Accident and Incident Investigations Division Form Number: CA 12-12b AIRCRAFT INCIDENT REPORT AND EXECUTIVE SUMMARY Reference: CA18/3/2/0851 Aircraft Registration ZS-NUL Date of Incident 15 June 2011 Time of Incident 0740Z Type of Aircraft Cessna 210T Type of Operation Private Pilot-in-command Licence Type Private Age 49 Licence Valid Yes Pilot-in-command Flying Experience Total Flying Hours 1 077.45 Hours on Type 156.75 Last Point of Departure Next Point of Intended Landing Richards Bay (FARB), KwaZulu-Natal Mposa (private aerodrome), KwaZulu-Natal Location of the Accident Site with Reference to Easily Defined Geographical Points (GPS readings if possible) Mposa (private aerodrome) (GPS co-ordinates: approximately S28.62174º E032.027678º Meteorological Information The pilot reported that fine weather conditions prevailed at the time of the incident (CAVOK). Number of People on Board 1 + 0 No. of People Injured 0 No. of People Killed 0 Synopsis On 15 June 2011, the pilot flew on a private flight from Richards Bay to Mposa in northern KwaZulu-Natal. The flight was uneventful, but during the landing at the destination, the pilot omitted to lower the landing gear and carried out a wheels-up landing. The aircraft sustained substantial damage during the sequence of events but the pilot escaped unharmed. The pilot was properly licensed to conduct the flight, and the aircraft was maintained as required by the manufacturer and the regulator. The weather did not contribute to this incident. Probable Cause The pilot omitted to lower the landing gear during landing at the destination. Contributing factor(s): The circuit breaker for the warning horn was disarmed and therefore the warning horn did not sound to warn the pilot. IARC Date Release Date CA 12-12b 23 FEBRUARY 2006 Page 1 of 7

Section/Division: Accident and Incident Investigations Division Form Number: CA 12-12b AIRCRAFT INCIDENT REPORT Name of Owner/Operator : Bustque 0117 (Pty) Ltd Manufacturer Model : T210L Nationality : South Africa Registration Marks : ZS-NUL Place : Cessna Aircraft Company Date : 15 June 2011 Time : 0740Z : Mposa (private aerodrome) (GPS co-ordinates S28.62174º E032.027678º All times given in this report are co-ordinated universal time (UTC) and will be denoted by (Z). South African Standard Time is UTC plus two hours. Purpose of the Investigation: In terms of Regulation 12.03.1 of the Civil Aviation Regulations (1997), this report was compiled in the interests of the promotion of aviation safety and the reduction of the risk of aviation accidents or incidents and not to establish legal liability. Disclaimer: This report is produced without prejudice to the rights of the CAA, which are reserved. 1. FACTUAL INFORMATION 1.1 History of Flight 1.1.1 On 15 June 2011 at approximately 0740Z, the pilot, who was the sole occupant of the aircraft, was on a local flight from Richards Bay to Mposa in northern Natal. 1.1.2 The flight was uneventful until landing at the destination, when the pilot omitted to lower the landing gear and carried out a wheels-up landing. 1.2 Injuries to Persons Injuries Pilot Crew Pass. Other Fatal - - - - Serious - - - - Minor - - - - None 1 - - - CA 12-12b 23 FEBRUARY 2006 Page 2 of 7

1.3 Damage to Aircraft 1.3.1 The aircraft sustained substantial damage to the lower fuselage area and the propeller. 1.4 Other Damage 1.4.1 There was no other damage. 1.5 Personnel Information 1.5.1 Pilot-in-command: Nationality South Africa Licence No. ********** Gender Male Age 49 Licence Valid Yes Type Endorsed Yes Ratings Night Medical Expiry Date 31 January 2012 Restrictions Corrective lenses Previous Accidents Nil 1.5.2 Flying experience: Total Hours 1 077.45 Total Past 90 Days 1.5 Total on Type Past 90 Days 1.5 Total on Type 156.75 1.6 Aircraft Information 1.6.1 Airframe: Type T210L Serial No. 210-60782 Manufacturer Cessna Aircraft Company Date of Manufacture 1995 Total Airframe Hours (At Time of Incident) 4 329.2 Last MPI (Mandatory Periodic Inspection - Date and Time) 20 July 2010 4 307.1 Hours Since last MPI 22.1 C of R (Issue Date) 26 May 2002 C of A (Issue Date) 27 February 2005 Operating Categories Standard 1.6.2 Engine: Type Continental TSIO-52044 Serial No. 217281R Hours Since New 1 523.7 Hours Since Overhaul 121.9 CA 12-12b 23 FEBRUARY 2006 Page 3 of 7

1.6.3 Propeller: Type Hartzell HC-J3YF-1RF/F7691 Serial No. JN153B Hours Since New 20 Hours Since Overhaul TBO not reached yet 1.7 Meteorological Information 1.7.1 The pilot reported that the following weather conditions prevailed at the time of the incident: Wind Northerly Wind Speed 5 kt Visibility > 10 km Direction Temperature Unknown Cloud Cover None Cloud Base N/a Dew Point Unknown 1.8 Aids to Navigation 1.8.1 The aircraft was equipped with standard navigation equipment as per the minimum equipment list approved by the regulator for the aircraft type. No defects were reported prior to the flight. 1.9 Communications 1.9.1 The aircraft was equipped with standard communication equipment as per the minimum equipment list approved by the regulator for the aircraft type. No defects were reported prior to the flight. 1.10 Aerodrome information Aerodrome Location Mposa Aerodrome Co-ordinates S28.62174º E032.027678º Aerodrome Elevation 317 ft AMSL Runway Designations 02/20 Runway Dimensions 450 m x 10 m Runway Used 02 Runway Surface Grass Approach Facilities Nil CA 12-12b 23 FEBRUARY 2006 Page 4 of 7

Figure 1: An aerial view of Mposa 1.11 Flight Recorders 1.11.1 The aircraft was not fitted with a cockpit voice recorder (CVR) or a digital flight data recorder (DFDR) and neither was required by regulations to be fitted to this type of aircraft. 1.12 Wreckage and Impact Information 1.12.1 The pilot executed a wheels-up landing during which the aircraft sustained damage to the lower fuselage surface and the propeller. 1.13 Medical and Pathological Information 1.13.1 The pilot was the holder of a valid medical certificate as a private pilot, with the only restriction being to wear corrective lenses. 1.14 Fire 1.14.1 There was no evidence of fire in flight or after the impact. 1.15 Survival Aspects 1.15.1 The pilot, who was the sole occupant, was properly restrained, and escaped unharmed. 1.16 Tests and Research 1.16.1 Nil CA 12-12b 23 FEBRUARY 2006 Page 5 of 7

1.17 Organizational and Management Information 1.17.1 Not applicable 1.18 Additional Information 1.18.1 The circuit breaker for the warning horn was disarmed and therefore the warning horn did not sound to warn the pilot. No on-site investigation was carried out. 1.19 Useful or Effective Investigation Techniques 1.19.1 None 2. ANALYSIS 2.1 On 15 June 2011 at approximately 0740Z, the pilot, who was the sole occupant of the aircraft, was on a local flight from Richards Bay to Mposa in northern Natal. The flight was uneventful until landing at the destination, when the pilot omitted to lower the landing gear and carried out a wheels-up landing. The circuit breaker for the warning horn was disarmed and therefore the warning horn did not sound to warn the pilot. 3. CONCLUSIONS 3.1 Findings 3.1.1 On 15 June 2011, the pilot flew on a private flight from Richards Bay to Mposa in northern Natal. The flight was uneventful, but during the landing at the destination, the pilot omitted to lower the landing gear and carried out a wheels-up landing. The circuit breaker for the warning horn was disarmed and therefore the warning horn did not sound to warn the pilot. 3.1.2 The aircraft sustained substantial damage during the sequence of events but the pilot escaped unharmed. 3.1.3 The pilot was properly licensed to conduct the flight, and the aircraft was maintained as required by the manufacturer and the regulator. 3.1.4 The weather did not contribute to this incident. 3.2 Cause(s) 3.2.1 The pilot omitted to lower the landing gear during landing at the destination. 3.3 Contributing factor(s): CA 12-12b 23 FEBRUARY 2006 Page 6 of 7

3.3.1 The circuit breaker for the warning horn was disarmed and therefore the warning horn did not sound to warn the pilot. 4. SAFETY RECOMMENDATIONS 4.1 Nil 5. APPENDICES 5.1 None Compiled by Jan du Plessis Date:... For: Director of Civil Aviation Investigator-in-charge: Date:.. Co-investigator:.. Date:. CA 12-12b 23 FEBRUARY 2006 Page 7 of 7