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AAIB Bulletin 9/2014

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AAIB Bulletin 9/2014 AAIB Bulletin 9/2014 TO REPORT AN ACCIDENT OR INCIDENT PLEASE CALL OUR 24 HOUR REPORTING LINE 01252 512299 Air Accidents Investigation Branch Farnborough House AAIB Bulletin: 9/2014 Berkshire Copse Road Aldershot GLOSSARY OF ABBREVIATIONS Hants GU11 2HH aal above airfield level lb pound(s) ACAS Airborne Collision Avoidance System LP low pressure Tel: 01252 510300 ACARS Automatic Communications And Reporting System LAA Light Aircraft Association ADF Automatic Direction Finding equipment LDA Landing Distance Available Fax: 01252 376999 AFIS(O) Aerodrome Flight Information Service (Officer) LPC Licence Proficiency Check Press enquiries: 0207 944 3118/4292 agl above ground level m metre(s) http://www.aaib.gov.uk AIC Aeronautical Information Circular mb millibar(s) amsl above mean sea level MDA Minimum Descent Altitude AOM Aerodrome Operating Minima METAR a timed aerodrome meteorological report APU Auxiliary Power Unit min minutes ASI airspeed indicator mm millimetre(s) ATC(C)(O) Air Traffic Control (Centre)( Officer) mph miles per hour ATIS Automatic Terminal Information System MTWA Maximum Total Weight Authorised ATPL Airline Transport Pilot’s Licence N Newtons BMAA British Microlight Aircraft Association N Main rotor rotation speed (rotorcraft) AAIB investigations are conducted in accordance with R BGA British Gliding Association N Gas generator rotation speed (rotorcraft) Annex 13 to the ICAO Convention on International Civil Aviation, g BBAC British Balloon and Airship Club N1 engine fan or LP compressor speed EU Regulation No 996/2010 and The Civil Aviation (Investigation of BHPA British Hang Gliding & Paragliding Association NDB Non-Directional radio Beacon CAA Civil Aviation Authority nm nautical mile(s) Air Accidents and Incidents) Regulations 1996. CAVOK Ceiling And Visibility OK (for VFR flight) NOTAM Notice to Airmen CAS calibrated airspeed OAT Outside Air Temperature cc cubic centimetres OPC Operator Proficiency Check The sole objective of the investigation of an accident or incident under these CG Centre of Gravity PAPI Precision Approach Path Indicator Regulations is the prevention of future accidents and incidents. It is not the cm centimetre(s) PF Pilot Flying CPL Commercial Pilot’s Licence PIC Pilot in Command purpose of such an investigation to apportion blame or liability. °C,F,M,T Celsius, Fahrenheit, magnetic, true PNF Pilot Not Flying CVR Cockpit Voice Recorder POH Pilot’s Operating Handbook DFDR Digital Flight Data Recorder PPL Private Pilot’s Licence Accordingly, it is inappropriate that AAIB reports should be used to assign fault DME Distance Measuring Equipment psi pounds per square inch or blame or determine liability, since neither the investigation nor the reporting EAS equivalent airspeed QFE altimeter pressure setting to indicate height EASA European Aviation Safety Agency above aerodrome process has been undertaken for that purpose. ECAM Electronic Centralised Aircraft Monitoring QNH altimeter pressure setting to indicate EGPWS Enhanced GPWS elevation amsl EGT Exhaust Gas Temperature RA Resolution Advisory EICAS Engine Indication and Crew Alerting System RFFS Rescue and Fire Fighting Service EPR Engine Pressure Ratio rpm revolutions per minute ETA Estimated Time of Arrival RTF radiotelephony ETD Estimated Time of Departure RVR Runway Visual Range FAA Federal Aviation Administration (USA) SAR Search and Rescue FIR Flight Information Region SB Service Bulletin FL Flight Level SSR Secondary Surveillance Radar ft feet TA Traffic Advisory AAIB Bulletins and Reports are available on the Internet ft/min feet per minute TAF Terminal Aerodrome Forecast http://www.aaib.gov.uk g acceleration due to Earth’s gravity TAS true airspeed GPS Global Positioning System TAWS Terrain Awareness and Warning System GPWS Ground Proximity Warning System TCAS Traffic Collision Avoidance System hrs hours (clock time as in 1200 hrs) TGT Turbine Gas Temperature HP high pressure TODA Takeoff Distance Available hPa hectopascal (equivalent unit to mb) UHF Ultra High Frequency IAS indicated airspeed USG US gallons IFR Instrument Flight Rules UTC Co-ordinated Universal Time (GMT) This bulletin contains facts which have been determined up to the time of compilation. ILS Instrument Landing System V Volt(s) IMC Instrument Meteorological Conditions V Takeoff decision speed Extracts may be published without specific permission providing that the source is duly acknowledged, the material is 1 IP Intermediate Pressure V Takeoff safety speed reproduced accurately and it is not used in a derogatory manner or in a misleading context. 2 IR Instrument Rating VR Rotation speed ISA International Standard Atmosphere V Reference airspeed (approach) Published 11 September 2014 Cover picture courtesy of Stephen R Lynn REF V Never Exceed airspeed (www.srlynnphotography.co.uk) kg kilogram(s) NE KCAS knots calibrated airspeed VASI Visual Approach Slope Indicator © Crown copyright 2014 ISSN 0309-4278 KIAS knots indicated airspeed VFR Visual Flight Rules KTAS knots true airspeed VHF Very High Frequency Published by the Air Accidents Investigation Branch, Department for Transport km kilometre(s) VMC Visual Meteorological Conditions Printed in the UK on paper containing at least 75% recycled fibre kt knot(s) VOR VHF Omnidirectional radio Range AAIB Bulletin: 9/2014 CONTENTS SPECIAL BULLETINS / INTERIM REPORTS None SUMMARIES OF AIRCRAFT ACCIDENT (‘FORMAL’) REPORTS None AAIB FIELD INVESTIGATIONS COMMERCIAL AIR TRANSPORT FIXED WING None ROTORCRAFT None GENERAL AVIATION FIXED WING Cessna F172M D-EESE 15-Nov-13 3 ROTORCRAFT None SPORT AVIATION / BALLOONS None AAIB CORRESPONDENCE INVESTIGATIONS COMMERCIAL AIR TRANSPORT Airbus A320-214 HB-IJB 03-Dec-13 9 AS355N Ecureuil II G-OLCP 21-Mar-14 11 Boeing 747-443 G-VLIP 14-Nov-13 13 DHC-8-402 Dash 8 G-ECOH 07-Feb-14 16 GENERAL AVIATION Aviat A-1B Husky Pup G-OGGY 21-May-14 21 Cessna 152 G-BHYX 19-May-14 22 Cessna 152 G-BNKS 11-Jul-14 24 Cessna 152 G-BONW 13-Apr-14 26 Cessna 152 G-BRNK 01-Apr-14 27 Cessna F172M Skyhawk G-TRAX 05-Jun-14 29 Cessna 175B Skylark G-ARML 24-Apr-14 31 Cirrus SR22 N222SW 12-Apr-14 33 DHC-1 Chipmunk 22 G-BCOO 31-May-14 34 © Crown copyright 2014 i AAIB Bulletin: 9/2014 CONTENTS Cont AAIB CORRESPONDENCE INVESTIGATIONS Cont GENERAL AVIATION Cont DHC-1 Chipmunk 22 G-ULAS ∫ ∫ 17-Jul-14 36 EV-97 Eurostar Sl Microlight G-CIDZ DH82A Tiger Moth G-AHVU 03-May-14 38 Ercoupe 415D G-ERCO 14-May-14 39 Escapade G-DIZI 21-Jun-14 40 Europa G-OURO 12-Jun-14 42 Piper PA-28-151 (Modified) Cherokee Warrior G-BXLY 01-Jun-14 43 Piper PA-32-300 Cherokee Six G-CDUX 06-Jun-14 45 Piper PA-34-200T Seneca II G-CLUE 28-Jul-13 46 Piper PA-38-112 Tomahawk G-BODS 05-Jun-14 50 Pulsar G-LWNG 06-May-13 52 Reims Cessna FRA150M Aerobat G-BDRD 19-Jun-14 54 Replica Sopwith Triplane G-BOCK 29-Jun-14 56 Robin CEA DR400/120 Petit Prince G-BKDJ 15-Apr-14 58 Robinson R22 Beta G-PACL 16-Jul-14 60 Schweizer 300 G-BWAV 12-Jun-14 62 Vans RV-6 G-GDRV 21-Apr-14 64 Vans RV-7A G-IIRV 31-May-14 65 Wittman W10 Tailwind G-BOIB 21-Apr-14 66 Zenair CH 601ULA Zodiac G-CBAP 01-Jul-14 68 SPORT AVIATION / BALLOONS Cameron Z-375 balloon G-VBFR 11-Apr-14 70 Cameron Z-375 balloon G-VBFS 04-Apr-14 71 Cosmik Aviation EV-97 Eurostar G-CDNG 05-Jul-14 72 Ikarus C42 FB100 G-DASS 11-Apr-14 73 Ikarus C42 FB100 G-ZAVI 20-Jun-14 75 Mainair Blade G-MZAZ 17-May-14 76 Quik GTR G-COWN 24-Jun-14 77 Rans S6-ESD Coyote II G-MYBI 11-Jun-14 79 Tri Kis G-BZDR 24-May-14 80 Zenair CH 701 STOL G-FAMH 22-Jun-14 81 MISCELLANEOUS ADDENDA and CORRECTIONS Eurocopter EC155B1 OY-HJJ 06-Nov-13 85 Europa XS G-GBXS 21-Aug-13 86 Luscombe 8E Silvaire Deluxe G-BTCH 22-Dec-13 87 Rotorsport Cavalon gyroplane G-RDNY 05-Mar-14 88 List of recent aircraft accident reports issued by the AAIB 89 (ALL TIMES IN THIS BULLETIN ARE UTC) © Crown copyright 2014 ii AAIB Bulletin: 9/2014 AAIB Field Investigation reports © Crown copyright 2014 1 AAIB Bulletin: 9/2014 D-EESE EW/G2013/11/06 ACCIDENT Aircraft Type and Registration: Cessna F172M, D-EESE No & Type of Engines: 1 Thielert TAE 125-01 Year of Manufacture: 1975 (Serial no: F17201297) Date & Time (UTC): 15 November 2013 at 1630 hrs Location: Lower Lough Erne, Co Fermanagh, Northern Ireland Type of Flight: Aerial Work Persons on Board: Crew - 1 Passengers - 1 Injuries: Crew - None Passengers - None Nature of Damage: Aircraft destroyed Commander’s Licence: Commercial Pilot’s Licence Commander’s Age: 32 years Commander’s Flying Experience: 809 hours (of which 783 were on type) Last 90 days - 205 hours Last 28 days - 43 hours Information Source: Aircraft Accident Report Form submitted by the pilot and further enquiries by the AAIB Synopsis The aircraft had concluded a photographic task and was climbing back to cruise altitude with full power selected. The pilot noted that the ‘engine load’ gauge was registering 74-79% instead of the expected 100%, and shortly afterwards he noticed that the engine oil pressure was dropping and that altitude and airspeed were also decreasing. He decided that a ditching on Lough Erne was preferable to any terrestrial forced-landing options, and a successful ditching was carried out. Subsequent examination found a broken seal and a loose bolt attaching the oil pump to the oil gallery in the block. This had probably led to oil starvation of the turbocharger which then caused the turbocharger main bearing to degrade to an extent that precluded the turbocharger from attaining its demanded rotational speed.
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