Investigation number
AO-2016-153
Occurrence date
Location
14 km north-north-west of Tyabb ALA
State
Victoria
Report release date
Report status
Final
Investigation level
Short
Investigation type
Occurrence Investigation
Investigation status
Completed
Aviation occurrence category
Engine failure or malfunction
Occurrence class
Accident
Highest injury level
Minor

What happened

On 15 November 2016, at about 1150 Eastern Daylight-saving Time (EDT), a Ryan STA-SPL aircraft, registered VH-SQD, departed from Tyabb aircraft landing area (ALA), Victoria, for a private local pleasure flight. The pilot was the sole occupant of the aircraft.

About 10 minutes after take-off, when at about 1,000 ft above mean sea level, the aircraft’s engine suddenly stopped, then briefly restarted and then stopped again. The pilot conducted a forced landing into a field. The aircraft landed heavily and with a tailwind, and the pilot assessed that the aircraft may not slow down sufficiently before a fence up ahead. The pilot therefore used the available airspeed to take-off again and fly the aircraft about 15 ft over the fence. The pilot aimed the aircraft’s wing at a tree to reduce the remaining speed and ensure it stopped prior to a major freeway. The aircraft collided with the tree, then the ground and was substantially damaged (Figure 1). The pilot sustained a minor injury.

Figure 1: Accident site showing damage to VH-SQD

Figure 1: Accident site showing damage to VH-SQD

Source: Victoria Police

Engineering report

A post-accident inspection found no evidence indicating the cause of the engine failure.

Pilot comments

The pilot reported that their priorities in the event of engine failure were to control the aircraft, land as soon as possible, and get rid of any excess energy (speed). The conditions may have been conducive to carburettor icing, but the aircraft was not fitted with carburettor heat.

Weather conditions and carburettor icing

The temperature at the time of the accident was 14 °C, the relative humidity 76 per cent, and the dew point depression 4 °C. According to the carburettor icing probability chart (Figure 2), there was a serious risk of carburettor icing at any power setting.

Figure 2: Carburettor icing probability chart

Figure 2: Carburettor icing probability chart

Source: CASA – annotated by ATSB

Safety analysis

The engine probably stopped due to carburettor icing, and the aircraft was not (and was not required to be) fitted with carburettor heat.

The aircraft was below 1,000 ft above ground level when the engine failed and the pilot had limited options for landing sites. The pilot landed the aircraft with a tailwind component, and directed the aircraft towards a tree to reduce the ground roll and prevent the aircraft continuing onto a freeway.

Findings

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

  • The engine probably failed due to carburettor icing, at relatively low level and with few options for the pilot to safely conduct a forced landing.

Safety message

It is essential to have a plan and practise simulated forced landings to assist in reducing the consequences of conducting one in the event of engine failure. The height above ground at which an engine failure occurs affects the time available to complete failure management checks and select an appropriate landing site.

Aviation Short Investigations Bulletin - Issue 56

Purpose of safety investigations

The objective of a safety investigation is to enhance transport safety. This is done through: 

  • identifying safety issues and facilitating safety action to address those issues
  • providing information about occurrences and their associated safety factors to facilitate learning within the transport industry.

It is not a function of the ATSB to apportion blame or provide a means for determining liability. At the same time, an investigation report must include factual material of sufficient weight to support the analysis and findings. At all times the ATSB endeavours to balance the use of material that could imply adverse comment with the need to properly explain what happened, and why, in a fair and unbiased manner. The ATSB does not investigate for the purpose of taking administrative, regulatory or criminal action.

Terminology

An explanation of terminology used in ATSB investigation reports is available here. This includes terms such as occurrence, contributing factor, other factor that increased risk, and safety issue.

Publishing information

Released in accordance with section 25 of the Transport Safety Investigation Act 2003

Published by: Australian Transport Safety Bureau

© Commonwealth of Australia 2017

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Aircraft Details
Manufacturer
Ryan Aeronautical Corp
Model
STA-SPL
Registration
VH-SQD
Serial number
193
Sector
Piston
Departure point
Tyabb, Vic.
Destination
Point Cook, Vic.
Damage
Substantial