Investigation number
199703221
Occurrence date
Location
113 km NNE Balranald, Aero.
Report release date
Report status
Final
Investigation type
Occurrence Investigation
Investigation status
Completed
Aviation occurrence type
Collision with terrain
Occurrence category
Accident
Highest injury level
Fatal

Following a fatal accident involving a Cessna 310, the Bureau issued Interim Recommendation IR960059 on 21 October 1996. The recommendation stated "the Civil Aviation Safety Authority (CASA) ensure appropriate maintenance policies are developed for all general aviation aircraft pneumatic vacuum system components".

In its response to this recommendation, CASA undertook to prepare an article for inclusion in the journal Flight Safety Australia. This article, titled "The Silent Emergency", was published in the March 1998 issue and is an extract from the United States General Aviation Maintenance Administration's and Federal Aviation Administration's accident prevention program. The article deals with the hazards of flying in conditions of reduced visibility and encourages aircraft owners to consider the installation of a backup or standby pneumatic system for gyroscopic instruments.

CASA also undertook to prepare and issue an Airworthiness Advisory Circular (AAC 1-97). This AAC, issued on 21 May 1998, is titled "Functional Testing Aircraft Vacuum/Pressure Systems". The AAC highlights the manufacturer's recommended maintenance requirements for vacuum manifold systems.

AAC 1-98 titled "Dry Vacuum Pumps" has also been released. This AAC explains why dry vacuum pumps fail and outlines a pump replacement checklist. AAC 1-87 titled "Gyro Failures and How to Identify Early Failures" was also issued some time ago.

The Bureau identified a similar safety deficiency following this accident and will be investigating further aspects of vacuum pump maintenance.

Aircraft Details
Manufacturer
Mooney Aircraft Corp
Model
M20
Registration
VH-KUE
Serial number
24-1030
Operation type
Private
Departure point
Adelaide, SA
Departure time
1757 hours EST
Destination
Dubbo, NSW
Damage
Destroyed