Crash of a Cessna 550 Citation Bravo in Lismore

Date & Time: Sep 25, 2015 at 1300 LT
Type of aircraft:
Operator:
Registration:
VH-FGK
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Lismore - Baryulgil
MSN:
550-0852
YOM:
1998
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5937
Copilot / Total flying hours:
377
Aircraft flight hours:
2768
Circumstances:
On the morning of 25 September 2015, the captain and copilot of a Cessna 550 aircraft (Citation Bravo), registered VH-FGK, prepared to conduct a private flight from Lismore Airport to Baryulgil, about 40 NM south-west of Lismore, New South Wales. The aircraft had been parked at the northern end of the airport overnight, with engine covers and control locks on. After arriving at the airport, the flight crew conducted a pre-flight inspection, with no abnormalities identified. They then commenced the normal pre-start checks, which included the disengagement of the flight control locks. The crew elected to use runway 15 for take-off, and used the Cessna simplified take-off performance criteria (see Take-off performance simplified criteria) to determine the thrust settings and take-off reference speeds. The resultant reference speeds were 105 kt for the decision speed (V1) and 108 kt for the rotation speed (VR). At about 1300 Eastern Standard Time, the flight crew started the engines and performed the associated checks, with all indications normal. The crew reported that they completed the after start checks, and the captain then taxied the aircraft to the holding point for runway 15, less than 200 m from where the aircraft was parked. While stopped at the holding point, the crew completed the taxi and pre-take-off checks, the copilot broadcast the standard calls on the common traffic advisory frequency, and the captain communicated with air traffic control (ATC). The captain taxied the aircraft onto the runway, and turned left onto the runway centreline to commence the take-off run from the intersection. While rolling along the runway, the captain advanced the thrust levers to the approximate take-off setting. The captain then called ‘set thrust’, and the copilot set the thrust levers to the more precise position needed to achieve the planned engine thrust for the take-off. As the aircraft accelerated, the copilot called ‘80 knots’ and crosschecked the two airspeed indicators were in agreement and reading 80 kt. The copilot called ‘V1’ and the captain moved their hands from the thrust levers to the control column in accordance with the operator’s normal procedure. A few seconds later, the copilot called ‘rotate’ and the captain initiated a normal rotate action on the control column. The crew reported that the aircraft did not rotate and that they did not feel any indication that the aircraft would lift off. The copilot looked outside and did not detect any change in the aircraft’s attitude as would normally occur at that stage. The captain stated to the copilot that the aircraft would not rotate, and pulled back harder on the control column. The copilot looked across and saw the captain had pulled the control column firmly into their stomach. Although the aircraft’s speed was then about 112 kt, and above VR, the crew did not detect any movement of the attitude director indicator or the nose wheel lifting off the ground, so the captain rejected the take-off; applied full brakes, and set the thrust levers to idle and then into reverse thrust. The aircraft continued to the end of the sealed runway and onto the grass in the runway end safety area (RESA), coming to rest slightly left of the extended centreline, about 100 m beyond the end of the runway. The aircraft sustained substantial damage and the flight crew, who were the only occupants of the aircraft, were uninjured. The nose landing gear separated from the aircraft during the overrun, and there was significant structural damage to the fuselage and wings. The right wheel tyre had deflated due to an apparent wheel lockup and flat spot, which had progressed to a point that a large hole had been worn in the tyre.
Probable cause:
Contributing factors:
- There was probably residual braking pressure in the wheel brakes during the take-off run.
- The aircraft’s parking brake was probably applied while at the holding point and not disengaged before taxing onto the runway for take-off.
- The Citation aircraft did not have an annunciator light to show that the parking brake is engaged, and the manufacturer’s before take-off checklist did not include a check to ensure the parking brake is disengaged.
- The aircraft experienced a retarded acceleration during the take-off run, and did not rotate as normal when the appropriate rotate speed was reached, resulting in a critical rejected take-off
and a runway overrun.
Final Report:

Crash of a Piper PA-61 Aerostar (Ted Smith 601B) in Lismore: 1 killed

Date & Time: Mar 11, 1986 at 1659 LT
Operator:
Registration:
VH-CUO
Flight Type:
Survivors:
No
Schedule:
Coolangatta – Lismore
MSN:
61-0806-8062151
YOM:
1980
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
When the aircraft arrived in the destination area, another aircraft was also in the circuit. The pilots were in communication with each other, and arranged that VH-CUO would land after the other aircraft. However, the pilot of VH-CUO apparently misjudged the relative speeds of the two aircraft. He initiated a go-around from a position on final approach to runway 15, when there was evidently insufficient separation with the preceding aircraft to allow a normal landing. The aircraft remained at a low height above the ground, and the pilot broadcast a message that he intended to land in the opposite direction, on runway 33. The wind at the time was from the south-east at about 10 knots. Witnesses observed the aircraft as it tracked along the western side of the runway. The turn onto base leg was made at an angle of bank of about 60 degrees, and about three-quarters of the way around the turn, the nose of the aircraft dropped rapidly. The aircraft then dived steeply to the ground, and was destroyed by the impact and subsequent fire.
Probable cause:
The subsequent investigation did not reveal any defect or malfunction which might have affected the operation of the aircraft. The pilot was conducting an operation known as a "bank run", and there is pressure on pilots performing such runs to adhere to the prescribed schedules. The pilot's decision to perform a low level circuit and land downwind was considered to be related to his desire to arrive at the terminal as close as possible to the scheduled time. While conducting the circuit, the aircraft stalled during a turn at a height which was too low to allow the pilot to recover control before impact with the ground.
Final Report:

Crash of a Stinson Model A in McPherson Range: 5 killed

Date & Time: Feb 19, 1937 at 1350 LT
Type of aircraft:
Operator:
Registration:
VH-UHH
Flight Phase:
Survivors:
Yes
Site:
Schedule:
Brisbane – Lismore – Sydney
MSN:
9126
YOM:
1936
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
5
Circumstances:
The three engine aircraft named 'City of Brisbane' was performing a regular schedule flight from Brisbane to Sydney with an intermediate stop in Lismore. Some 40 minutes after takeoff from Brisbane-Archerfield Airport, while cruising in marginal weather conditions over the McPherson Range, the aircraft hit tree tops and crashed in a dense wooded area. Both crewmen and two passengers were killed while three passengers survived. They walked away to find help but one of them (James Westray) died when he fall down a ravine. Eventually, on March 1st, 1937, the two last survivors (John Proud and Joseph Binstead) met Bernard O'Reilly, a bushman, and were rescued.
Crew:
Rex Boyden, pilot, †
Beverley Shepherd, copilot. †
Passengers:
R. Graham, †
W. Fountain, †
James Westray, †
John Proud,
Joseph Binstead.
Probable cause:
Prior to the accident, VH-UHH was being flown at a low altitude and under the cloud level, its pilot apparently trying to maintain visual contact with the ground, and the crash occurred when it encountered winds of up to 60 knots, which created a strong down drafts that exceeded its ability to climb.

Crash of a De Havilland DH.80 Puss Moth in Byron Bay: 3 killed

Date & Time: Sep 18, 1932 at 1430 LT
Operator:
Registration:
VH-UPM
Flight Phase:
Survivors:
No
Schedule:
Sydney – Lismore – Brisbane
MSN:
2052
YOM:
1930
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
3
Circumstances:
While cruising at a height of 100 feet over the Burringbar Mountain Range, the pilot encountered strong winds and turbulences. He initiated a turn to the right when the left wing and the rudder detached. Out of control, the aircraft crashed and was destroyed. All three occupants were killed.
Crew:
Ralph Virtue, pilot.
Passengers:
Les Holden,
Dr. George R. Hamilton.
Probable cause:
Strong drafts exceeded the design of the left wing and the rudder that failed in flight.