Mallard Down in Perth
Join Date: Nov 2017
Location: Western Australia
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Still haven't seen the CASA Final Report...
But, my inexperienced/low hours personal opinion is...
- From a Human Factors angle, they were in danger the instant his lady occupied a Front Seat.
The concern about OAT/ engine performance was a distraction that possibly over-occupied the owner's mind. Understood in marksmanship, the wind can affect the shooter, more-so than the projectile.
A Pilot (PM) in the RH seat would have noticed the airspeed, and "mentioned" it... and if the PF doesn't react properly & immediately.. take control.
- A CFI did that to me once... still have the Lesson embedded...and tinnitus.
Seriously, later when taught to spin a full aerobatic 'plane, I'd add a quick touch of aileron to deepen the inside wing's stall and positively establish the spin.
Just like he did, sadly.
But, my inexperienced/low hours personal opinion is...
- From a Human Factors angle, they were in danger the instant his lady occupied a Front Seat.
The concern about OAT/ engine performance was a distraction that possibly over-occupied the owner's mind. Understood in marksmanship, the wind can affect the shooter, more-so than the projectile.
A Pilot (PM) in the RH seat would have noticed the airspeed, and "mentioned" it... and if the PF doesn't react properly & immediately.. take control.
- A CFI did that to me once... still have the Lesson embedded...and tinnitus.
Seriously, later when taught to spin a full aerobatic 'plane, I'd add a quick touch of aileron to deepen the inside wing's stall and positively establish the spin.
Just like he did, sadly.
Report still not complete
https://www.atsb.gov.au/publications...r/ao-2017-013/
Updated: 25 January 2019
The investigation into the collision with water involving a Grumman American Aviation Corp G-73, VH-CQA, 10 km WSW of Perth Airport, Western Australia on 26 January 2017 is continuing.
The final report has completed the drafting phase and is now undergoing an internal review.
Final ATSB investigation reports undergo a rigorous internal review process to ensure the report findings adequately and accurately reflect the analysis of available evidence. Final investigation reports also undergo other technical and administrative reviews to ensure the reports meet national and international standards for transport safety investigations.
Following the completion of the internal review, the report will be sent to directly involved parties for comment before the report is finalised and published.
Currently, the anticipated completion and publication date of the final report is during the first quarter of 2019.
Should any safety issues be identified during any phase of the investigation, the ATSB will immediately notify those affected and seek safety action to address the issue.
https://www.atsb.gov.au/publications...r/ao-2017-013/
Updated: 25 January 2019
The investigation into the collision with water involving a Grumman American Aviation Corp G-73, VH-CQA, 10 km WSW of Perth Airport, Western Australia on 26 January 2017 is continuing.
The final report has completed the drafting phase and is now undergoing an internal review.
Final ATSB investigation reports undergo a rigorous internal review process to ensure the report findings adequately and accurately reflect the analysis of available evidence. Final investigation reports also undergo other technical and administrative reviews to ensure the reports meet national and international standards for transport safety investigations.
Following the completion of the internal review, the report will be sent to directly involved parties for comment before the report is finalised and published.
Currently, the anticipated completion and publication date of the final report is during the first quarter of 2019.
Should any safety issues be identified during any phase of the investigation, the ATSB will immediately notify those affected and seek safety action to address the issue.
administrative reviews
What input does "administration" have?
It shouldn't take two years to confirm what we already suspect. Dotting 'i's and crossing 't's means stuff all in the big picture which is what a report is about.
The NTSB appear to be quick at getting their reports out for the more simple incidents and they are also very quick to simply say “the pilot messed up” or
words to this effect. Perhaps Australia could take advice from them and grade the incidents accordingly.
words to this effect. Perhaps Australia could take advice from them and grade the incidents accordingly.
We are now into August and it is still in ‘Final report: Internal review’ phase. Wonder why this is taking so long, have they forgotten about their first quarter of 2019 anticipated completion date.
How long? Why so long?
ATSB was created as an independent Commonwealth corporate body by then Minister Albanese in 2009. As soon as this came about ATSB began to take on the familiar characteristics of this type of government entity. CASA is the ‘perfect’ example of the type, the incentives have altered. Make work prevails; economy, efficiency and timelines suffer. A little off topic but as an excellent example the photo illustrates the results of the hands off approach, the broken model of governance that’s common to CASA and the ATSB. A model that is increasingly a feature of the Commonwealth Government as Ministers inappropriately distance themselves from responsibility. Probably we don’t pay Ministers enough, Mr. Carmody gets twice as much as his Minister so who is boss?
Why have we lost hundreds of flying schools and maintenance orgs?
US:- $14.95 book with index. Start immediately with ins. rating, no grades 1,2,3.
. CASASTROPHE:- edited library, no index, $thousands, months or years, maybe permissible eventually, or maybe not like one well qualified instructor who put up $8000 ( flying school permission) application nearly four years ago, then gave up.
Why have we lost hundreds of flying schools and maintenance orgs?
US:- $14.95 book with index. Start immediately with ins. rating, no grades 1,2,3.
. CASASTROPHE:- edited library, no index, $thousands, months or years, maybe permissible eventually, or maybe not like one well qualified instructor who put up $8000 ( flying school permission) application nearly four years ago, then gave up.
Why so long for a report?
In 2017 a few General Aviation types (and maybe others) including myself went to a conference at the Avalon Airshow to hear from Mr. Carmody head of CASA, Jason Harfield of Airservices and Greg Hood who is the head of ATSB. When Greg’s turn came to address us attendees he sported a hi-vis ATSB jacket and ran a video of the Mallard’s fatal last seconds as it plunged into the water. This video was on a loop and cycled there for us to see throughout the whole of Greg’s speech. Over and over again, surreal? Certainly bizarre say no more.
Report.when if.
There’s not been any explanation for the full up elevator trim jacks position as discovered from the wreckage, none that I’ve seen to date. Certainly the current or previous official line about causation doesn’t seem plausible to some experienced Kingair pilots.
https://www.abc.net.au/news/2019-11-...eport/11718076
An investigation into the fatal 2017 Australia Day plane crash in Perth's Swan River that killed a pilot and his girlfriend in front of thousands of onlookers has suggested pilot error and poor procedures were to blame for the accident.
Pilot Peter Lynch, 52, and his girlfriend Endah Cakrawati, 30, died when their plane nose-dived into the Swan River during an air show ahead of the city's annual fireworks display.
Tens of thousands of people watched in horror as the Grumman G-73 Mallard flying boat banked sharply before crashing into the water.
A final report into the crash from the Australian Transport Safety Bureau (ATSB) has called for improved approvals and oversight for air show displays.
The report found the Mallard was supposed to conduct two circuits over the water following a Cessna Caravan aircraft being flown by a pilot who had experience flying in the air show.
"Following the Caravan was intended as a risk mitigator against the Mallard pilot's unfamiliarity with display flying over the Swan River," the report said.
RIP Peter
An investigation into the fatal 2017 Australia Day plane crash in Perth's Swan River that killed a pilot and his girlfriend in front of thousands of onlookers has suggested pilot error and poor procedures were to blame for the accident.
Key points:
- The plane was taking part in an air show in front of thousands of people
- It had completed two passes, but on the third it stalled at an "unrecoverable height"
- A report found this third manoeuvre was against air show procedures
Pilot Peter Lynch, 52, and his girlfriend Endah Cakrawati, 30, died when their plane nose-dived into the Swan River during an air show ahead of the city's annual fireworks display.
Tens of thousands of people watched in horror as the Grumman G-73 Mallard flying boat banked sharply before crashing into the water.
A final report into the crash from the Australian Transport Safety Bureau (ATSB) has called for improved approvals and oversight for air show displays.
The report found the Mallard was supposed to conduct two circuits over the water following a Cessna Caravan aircraft being flown by a pilot who had experience flying in the air show.
"Following the Caravan was intended as a risk mitigator against the Mallard pilot's unfamiliarity with display flying over the Swan River," the report said.
RIP Peter
The report didn't mention the video posted to Instagram, which shows a woman's hands on the controls just before the crash, she also seems to start in the right seat then move to the left seat.
I wouldn’t exactly call that video valid evidence, as long as that aircraft type can be flown from the right seat. She’s simply done her best to make it look like she is flying the aircraft, presumably for the enjoyment of her instagram fans.
I would have thought that using this event to please followers on Instagram could be a contributing factor. I don't do Instagram but I understand there is a financial incentive to get your posts seen by as many people as possible? Maybe one more pass was needed to get the money shot? It shows she had her hands on the controls but had no qualifications to fly it and wasn't even supposed to be on board at all.