[Peetwo]

AO-2022-034: Final report released?? -   

Ref: https://www.atsb.gov.au/publications/inv...o-2022-034

Findings

ATSB investigation report findings focus on safety factors (that is, events and conditions that increase risk). Safety factors include ‘contributing factors’ and ‘other factors that increased risk’ (that is, factors that did not meet the definition of a contributing factor for this occurrence but were still considered important to include in the report for the purpose of increasing awareness and enhancing safety). In addition ‘other findings’ may be included to provide important information about topics other than safety factors. 

These findings should not be read as apportioning blame or liability to any particular organisation or individual.

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From the evidence available, the following findings are made with respect to the birdstrike and in-flight break-up involving a Bell 206L1 LongRanger, registered VH-ZMF, near Maroota, NSW, on 9 July 2022

Contributing factors

• Sun position and pilot workload at the control zone boundary likely resulted in the pilot not identifying a potential airborne collision risk.
  
• ]While cruising at about 700 ft AMSL, the aircraft struck a wedgetail eagle just below the left windscreen.
  
• The pilot was likely startled by the birdstrike resulting in an abrupt control input, which led to the main rotor blades contacting the tail boom and subsequent in-flight break-up.
  

Although the prelim report for this fatal accident investigation was 69 days in non-compliance with the ICAO Annex 13 30 day rule, the final report today was produced in a record time of 10 months and 3 days. The final report grew from a 6 page prelim report to 16 pages, which probably reflects that other than the normal investigative stages (DIP, Commissioners etc), there was not too much more to add. So chocfrog to Popinjay and crew for this one...

Next a new short investigation... : https://www.atsb.gov.au/publications/inv...o-2023-023

 

Runway incursion involving Diamond Aircraft DA40, registration VH-ERE, at Sunshine Coast Airport, Queensland on 7 May 2023

Summary

The ATSB has commenced an investigation into a runway incursion which resulted in a Boeing 737 conducting a missed approach at the Sunshine Coast Airport, Queensland on 7 May 2023.

The pilot of a Diamond DA40 entered runway 31 without a clearance. ATC subsequently instructed the Boeing 737 on approach to go-around. As part of the investigation, the ATSB will examine the circumstances leading to the runway incursion and determine contributing factors.

The investigation will include interviewing the flight crew, air traffic controller, and other relevant personnel, examining available recorded data, reviewing relevant procedures and collecting other evidence as required.

A final report will be published at the conclusion of the investigation. Should a critical safety issue be identified at any time during the investigation, the ATSB will immediately notify operators and regulators so appropriate and timely safety action can be taken.

Hmm...pardon my ignorance but isn't this incident just a reflection of how the system is supposed to work...      

MTF...P2