Investigation number
AO-2009-079
Occurrence date
Location
Longreach Aerodrome
State
Queensland
Report release date
Report status
Final
Investigation level
Short
Investigation type
Occurrence Investigation
Investigation status
Completed
Aviation occurrence type
Loss of control
Occurrence category
Serious Incident
Highest injury level
None

On 25 November 2009, an Ayres Corporation S2RT341 aircraft,
registered VH-NZB (Figure 1), was being operated on a ferry flight
from Parkes, New South Wales (NSW) to Batchelor, Northern Territory
(NT), with an initial intermediate stop at Longreach, Queensland
(Qld). While on final approach to Longreach, without warning, the
aircraft's nose pitched upward and an aerodynamic stall resulted.
The pilot, the sole occupant, regained control and the aircraft
landed safely.

A subsequent engineering investigation by the aircraft's
maintenance provider determined that the elevator push rods had
been fitted in the reverse order during recent maintenance, thus
restricting the amount of nose down elevator travel available to
the pilot.

The maintenance organisation advised the ATSB that, as a
result of this occurrence, it has initiated a number of safety
actions, including:

  • exploring options for modifying the design of the
    bellcrank assembly to ensure that the push rods can only be fitted
    in the correct position
  • ensuring that all employees are aware of their
    responsibilities when conducting dual maintenance inspections on
    flight control systems.

Aircraft Details
Manufacturer
Ayres Corporation
Model
S2R
Registration
VH-NZB
Serial number
T34-024DC
Operation type
Aerial Work
Damage
Nil