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    Regulars

    CONTENTSFeatures

    8 Not safety first, but safety always. The first of a series of articles on SMS implementation.

    21 High-flying women The Australian Women Pilots Association annual

    conference & awards.

    22 Mid-air collisions CASAs prevention campaign

    24 Cant walk. Can fly. A former pilot achieves an Australian first .

    30 Victa Airtourer feedback on May-Junes High-G manoeuvring article.

    31 Ageing composite materials Richard Castles, one of CASAs senior airworthiness

    engineers, looks at ageing and composites.

    58 Tragedy at Coolangatta. Macarthur Job on how a loading problem led to one of

    Australias worst civil aviation accidents.

    64 Medical certification. Steps for renewing your medical.

    2 AirMail

    7 Flight Bytesaviation safety news

    16 ATC Notes news from Airservices Australia

    18 Accident reports International19 Accident reports Australian

    31 Airworthiness pull-out section 33. SDRs

    38. Directives

    44 Close Call His story: nearly history A VFR into IMC close call special.

    52 ATSB supplement

    66 Av Quiz

    71. Quiz answers

    70 Calendar

    ISSUE NO. 69, JULY-AUG 2009

    Director of Aviation Safety CASA

    ohn F. McCormick

    MANAGER, SAFETY COMMUNICATIONS

    & MARKETING

    Gail Sambidge-Mitchell

    EDITOR, FLIGHT SAFETY AUSTRALIA

    Margo Marchbank

    ADVERTISING SALES

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    CONTRIBUTIONS

    Stories and photos are welcome. Pleasediscuss your ideas with editorial staff before

    submission. Note that CASA cannot acceptresponsibility for unsolicited material.

    All efforts are made to ensure that the correctcopyright notice accompanies each publishedphotograph. If you believe any to be in error,

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    Advertising appearing in Flight SafetyAustralia does not imply endorsement by

    the Civil Aviation Safety Authority.Warning: This educational publication

    does not replace ERSA, AIP, airworthinessregulatory documents, manufacturers

    advice, or NOTAMs. Operationalinformation in Flight Safety Australia

    hould only be used in conjunction with

    current operational documents.

    Information contained herein is subjectto change. The views expressed in this

    ublication are those of the authors, and donot necessarily represent the views of the

    Civil Aviation Safety Authority.

    Copyright 2009, Civil Aviation SafetyAuthority Australia.

    Copyright for the ATSB and ATC supplementsrests with the ATSB and Airservices

    Australia respectively these supplementsare written, edited and designed

    independently of CASA. All requestsor permission to reproduce any articlesshould be directed to FSA editorial (see

    correspondence details above).

    RegisteredPrint Post: 381667-00644.

    ISSN 1325-5002.

    OVER:Photo ra h CurtisMorton

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    AX R ER WR TE NTIN INTHE DISCUSSION OF THE REAL FIRST

    MAN MMER IAL PIL

    In the interests of all contenders for the title, I enclose a

    copy of the page from the Department of Civil Aviations

    own register, with the REAL first woman commercial pilot

    of Australia, Phyllis Arnott. Amy Johnson was granted no.

    1, but the first Australian was Phyllis Arnott. Keep up the

    excellent work.Flight Safetyis a highly readable and well-

    presented publication.

    ANTA PIL T, ALEX AMP , EMAILEDNFIRMIN THI

    P y is Arnott (my great aunt) gaine er commercia

    licence on 28th February 1931, and was therefore the first

    Austra ian woman to gain a commercia pi ots icence.Qantas named an A380 after her at a recent ceremony.

    ED: thanks to these readers who corrected the record I thinkthat su jects settle .

    Keep those emails an letters coming in. We value your

    feedback, and while selfishly perhaps, its nice to have the

    positive ouquets, we nee the rick ats too, so that we can

    continue to improve the magazine.

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    R PEAN PIL T EXPRE DEEPE T

    SYMPATHY

    Following the tragic loss of an Air France Airbus 330-

    200 on I June 2009, en route from Rio de Janeiro to

    Paris, the European Cockpit Association (ECA) offered

    on behalf of all 38,000 plus professional pilot colleagues

    rom 36 country mem er associations, t eir eepest

    sympathies and heartfelt condolences on the loss of

    friends, colleagues and passengers on board flight

    AF447.

    In such unusual circumstances, and given the normally

    exemplary safety record of both this aircraft and the

    airline; ECA President Martin Chalk said: Our hearts

    an t oug ts are wit t ose a ecte y t is isaster.

    In their name and in the name of every pilot, crewmember and passenger of the future we urge the

    press, politicians and public to support the official safety

    investigators and allow the time, resources and patience

    or a compre ensive ICAO annex 13 investigation. T is

    is the only way to protect future travellers and provide

    the necessary answers for those who have suffered the

    most grievous loss.

    European Cockpit Associat ion 3 June 2009

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    FFLED FEATHERVER TRASH DEPOT NEAR

    AIRPORT

    Critics say a planned site near New

    Yorks LaGuardia Airport would act asa bird magnet. About 700 yards from

    the end of a LaGuardia Airport runway,

    where thousands of planes take off

    and land, New York officials want to

    ui w at cou e t e equiva ent o

    a bird magnet: a very large garbage

    transfer station just four months

    after a run-in with birds sent a jet

    full of people into the Hudson River

    separating New York and New Jersey.

    Thats just insane, said Jeff Skiles, co-

    pilot of US Airways Flight 1549, whichditched in the water Jan. 15. We have

    a lot of difficulty keeping birds away

    rom airports as it is.

    T e city an t e Fe era Aviation

    Administration insist that the 2,000

    tons of garbage, which would be

    hauled by truck into the 100-foot tall

    facility each day and sent out again

    on barges, wont entice birds because

    t e waste wi e ept in containers or

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    The Associated Press Online @ MSNBC.

    com 6:55 a.m. ET May 26, 2009

    AFETY UE TI NNAIREFOR AOC HOLDERS

    In late July, AOC holders with

    passenger-carrying permissions wi

    be required to complete CASAs safety

    questionnaire covering their activities

    or t e rst a o 2009.

    The July survey is shorter and simpler

    than Februarys CASA anticipates

    that the survey should take AOC

    holders who have maintained ongoingata o t eir activities on y a out 15

    minutes to complete.

    CASAs collection of such detailed and

    accurate operationa ata is vita to

    enable us to prioritise safety oversight

    activities, assess industry risks and

    provide targeted safety support. AOC

    holders will receive further information

    e ore t e survey egins.

    NEW T P N

    he Pentagon is preparing to graduate its

    first unmanned drone (UAV) pilots from

    the elite US Air Force Weapons School

    a version of the Navys Top Gun program in a bid to elevate the skills and status

    of officers who fly Predators, one of the

    militarys fastest growing programs.

    Over t e course o t e wars in Iraq

    and Afghanistan, the MQ-1 Predator,

    an more eavi y-arme MQ-9 Reaper

    ave ecome, to many peope in t e

    Pentagon, the most important aircraft

    t e US as ep oye .

    Giving top drone pilots a shot at the best

    training the military offers is one way to

    ensure t e most ta ente o cers staywith the program and do not return to

    manned aircraft. The advanced training

    was first proposed three years ago, and

    rejected, but now with 127 Predators,

    31 Reapers and 400 unmanned aircraft,

    the Air Force was given the go-ahead to

    create the program.

    Los Angeles Times reprinted in

    Can erra Times 9 June 2009

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    Regular public transport operators are

    undergoing a transition to the proposed

    CASR Part 119, which will mandate safety

    management systems for passenger

    transport services using aeroplanes or

    rotorcraft, and some categories of cargo

    transport. It is envisaged that this willincorporate therefore not only Australias

    current 48 high and low-capacity regular

    public transport (RPT) operators, but will

    also include some additional 400 charter

    operators. Flight Safetyeditor, Margo

    Marchbank, in the first of a series of articles

    on SMS implementation, gives an overview.

    I dont believe in safety first, but safety

    always, says CEO of Toll Aviation, Trevor

    Jensen. If you say safety first, then its very

    easy to say, OK, weve considered safety,

    now we can get on with the job. Whereas,

    if safety always is the culture, then you

    dont move away from it. Toll Aviation is

    one of three pilot organisations working

    closely with CASA on the implementation

    of safety management systems (SMS) inthe transition to Part 119. SMS have been

    on the radar for over ten years, and many

    proactive RPT operators, recognising that

    they are a critical part of doing business,

    already have robust SMS in place. Theyve

    een man atory or certi e aero romes

    since January 2007, an aero romes wit

    internationa ig ts even ear ier, since

    2005. (Furt er in t is artic e, t ere are case

    stu ies o two very i erent aero rome

    SMS experiences. See page 12.)

    NOT SAFETY FIRST,

    BUT SAFETY ALWAYS

    Photo:MargoMarc

    hbank

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    Phase 1 Phase 2 Phase 3

    Safety Policy, Objectives and Planning

    Management commitment & responsibility

    Safety accountabilities of managers

    Appointment of key safety personnel

    SMS implementation plan

    Gap analysis

    Documentation

    Third party interface

    Coordination of the emergency response plan

    Safety Risk Management

    Risk assesment & mitigation process eact ve roact ve pre ct ve

    Hazard identification process Proactive/predictive/hazard

    identification

    Safety Assurance

    Safety performance monitoring & measurement Reactive - incident & accident

    estigation

    Internal safety investigation

    The management of change

    Continuous improvement of the safety system

    Safety Training & Promotion

    Training & education ey personnel ll safety critical personne All safety critical personnel

    Safety communication

    SMS IMPLEMENTATION PHASES 2009-2011

    T ere are our major components to t e require SMS:

    Safety policy, objectives & planning

    Safety risk management

    Safety assurance, and

    Safety training and promotion.

    As part of the phased implementation of CASR Part 119, CAO 82.5

    (HCRPT) an CAO 82.3 (LCRPT) were man ate in January 2009,

    requiring operators to implement an SMS according to a staggered

    timeline. These phases are depicted below.

    To Aviation as a eet o 12 aircra t: two Frenc ATR 42s; 10 Metros (eig t

    3s and two 23s); and three 737s contracted from Airwork NZ. And, on any

    one day, they may also contract up to 50 aircraft. The company employs

    115 people: 38 pilots (ten on the ATRs and the rest on the Metros); 42

    engineers; 12 groun sta ; an t e remaining 23 in nance an a min.

    Although Toll is not a CAO 82.3 or 82.5 operator, they have chosen toimp ement an SMS meeting t e stan ar s an time rames associate

    with HCRPT operation. Their Metro operation is based around a number

    of bank runs to centres such as Cairns, Townsville, Mt Isa, Moree,

    Coolangatta and Mackay. Then there are the freight services one ATR

    ies out o Bris ane to Ban stown, Me ourne

    and Adelaide, while the other does the reverse

    leg Adelaide to Brisbane, at the same time. The

    Metros a so y t e A e ai e to Me ourne route.

    Trevor explains that their Monday to Friday

    roster appeals to many pilots for whom no

    flying on weekends is a lifestyle choice. He

    is very much aware of the competition Toll

    faces from the major airlines, in attracting and

    retaining pilots. The minute the major airlines

    want pilots, we lose them, he explains, with

    up to a 50 per cent turnover in the good times,

    so part of the companys risk assessment is the

    pressure this places on maintaining standards.

    However, the current economic downturn has

    a positive side decreased airline recruitment

    has meant less workforce attrition. The

    downturn has given us time to put our SMS in

    place with a stable workforce, he says.

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    T e timing is a so rig t or t eir SMS

    for another reason. Toll Aviation arose

    from three companies: Jetline, Jetcraft

    and Jetcare, which have been aligned

    into the one organisation over the

    past 12 months. This consolidation

    provi e a goo opportunity, Trevor

    Jensen says, to work with CASA

    on examining Tolls systems very

    closely, as a prelude to establishing

    an integrated SMS for the new

    entity. An important first step

    was a thorough gap analysis.

    Safety doesnt have to cost

    money, Trevor explains, so Toll

    use Survey Monkey (a simpe

    tool for designing surveys

    online, with the capacity to

    then analyse the data), to

    survey their pilots, engineers

    and ground staff to see how

    we as a group see ourse ves.

    Im not a salesman for

    Survey Monkey, but its a

    great tool which costs you

    nothing. In a short time

    we were able to come up

    wit resuts oo ing atour compliance. This

    analysis was revealing,

    revor says. If you take

    level 10 to be the level

    we want to e or ICAO stan ar s (Internationa

    Civil Aviation Organization), then for most items

    we were overing aroun six, ut on azar

    identification, it was three out of 10.

    He says that by conducting the survey andanalysing its results, they were able to be

    more realistic. If we had asked ourselves, for

    example, Do we have a hazard identification

    system? we probably would have said,

    Yes. But now, rather than just ticking the

    boxes, digging deeper has identified the

    wea nesses, so we now w ere weve got

    to put our effort in. The process took Toll

    Aviation t ree mont s, ut Trevor says, it

    gives us a very onest assessment o our

    SMS readiness.

    Having this data has also helped in convincing

    the corporate group of the need to resource

    safety management within the company

    training, IT systems and so on. You can never

    win an argument on emotion, but good data

    can help you win.

    Trevor and his team have now assessed all

    the required elements, and established a

    list of the tasks needed to put their SMS in

    place, with the tasks allocated in a schedule

    for phases 1, 2 and 3 of implementation. As

    they write their manual, they can sign off on

    eac o t ese tas s. To is a so part o t e pi ot

    group tria ing t e new on ine SMS manua

    authoring and assessment tool (MAAT).

    W en Flight Sa ety visite t e company

    headquarters in Brisbane, Trevor was about to

    sit down with the CASA SMS project team to

    begin populating the manual builder online.

    In conclusion,Flight Safetyasked him what he

    felt were the key points of an SMS. Keep itsimple; safety has to be pragmatic, he replies.

    Its not about having big manuals your SMS

    documentation should reflect how you do

    your business. Make sure it reflects what you

    do. And in training and communicating about

    safety, make sure the way you do it suits the

    au ience. T eres no point in aving pages

    o instruction, wit t e intent in t e mi e

    of the document, if the guys dont want to

    rea nine pages. We ave to un erstan our

    audience a lot better, he says.

    The

    minutethe

    major

    airlineswant

    pilots,

    welose

    them,

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    The whole system is electronically based, andwith hyperlinks to the regulations, there is

    always access to the source document (e.g. the

    CASA, EPA or WorkCover websites). Clicking

    on the link therefore takes you straight to

    the most recent version. Every activity they

    undertake has a safe work method statement

    and risk assessment that identifies hazards in

    relation, not only to the activity, but the area

    of operation, which may vary from day to

    ay. Were in t e ear y stages o tria ing a

    new system, using a PDA B ac erry, so t at

    you can own oa ocumentation w en youcome back into the office. Or, in the case of

    one of our pilots who may be flying outback,

    he can obtain remote access to our server

    24/7, Geoff explains.

    He estimates that the initial certification

    process, involving five months of manpower

    and downtime cost EPS about $50,000; with

    ongoing audit costs (around $12,000 annually)

    an annua registration ees or t e t ree

    certifications of another $12,000. But Geoff

    argues, It wasnt too long ago that the only

    EPS HELICOPTER SERVICESAccording to principal, Geoff Sprod, EPS helicopters are confident that

    whatever SMS standards CASA introduces in the near future for charter

    operators, they will be ready. On their website, Bankstown-based EPS

    He icopter Services Pty Lt state t eir mission is: to provi e a sa e,

    e cient, cost e ective e icopter management service in support o

    our clients strategies and objectives. It was this desire to maintain

    an ongoing emphasis on safety, and to establish a point of difference

    with competitors, which led Geoff and chief pilot, Paul Caristo, to

    implement a quality assurance system.

    EPS Helicopter Services own two helicopters, a Bell 206BIII Jetranger,

    and their latest acquisition, a Eurocopter AS350SD2. They conduct

    charter and aerial work activities that include pipeline and power line

    surveys, banner towing, sling loads, fire fighting and parachuting for

    promotiona events, to name a ew.

    In 2007, Paul was about a third of the way into putting the new companys

    operations manual together, Geoff explains, when the pair decided,

    Lets eve op a u y integrate management system t at wou rive

    the business, rather than simply having an SMS. Recognising that the

    helicopter world is a highly-competitive market, and that the business

    would benefit from the security of ongoing contracts, they decided to

    embark on securing SAI Global ISO certification. Ask any Joe on the

    street, an t ey now w at t e sym o s mean, Geo exp ains, t efive coloured ticks are the most recognisable QA symbols anywhere.

    So EPS opted to undertake not only quality assurance (QA) (ISO 9001),

    certification, but also environment (ISO 14001) and OH&S (AS 4801).

    Their five months of developing policies and procedures covering all

    aspects of the business, including safe work method statements, risk

    registers, risk assessments, staff training and induction, paid off. After

    rectifying minor areas during the pre-audit check, they passed their

    audit in October 2007, gaining their triple SAI Global certification. This

    certi cation process ensures t e system continua y evo ves wit t e

    usiness towar s est practice, an is reviewe wit ongoing au its to

    maintain certification.

    www.eps e i.com.au omepage

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    t ing t at mattere was t e our y rate. Over

    the past two years we have seen a change in

    tender requirements, and acknowledgement

    that tenderers have some form of quality,

    OH&S an environmenta po icies an

    procedures in place. And more recently, you

    not only have to provide evidence of such

    systems, but also any external certification.

    Anyone who chooses not to go down this

    roa soon wi e e in t e competition.

    For EPS the additional certification brought

    direct commercial benefit: a few months after

    certification, EPS secured

    a government contract, competing against ot er major operators.

    While price accounted for a percentage, other factors such as quality

    and environment were an issue. Their success, Geoff says, could be

    attributed to the fact that EPS was the only operator with a certified

    system w ic covere a t ree aspects, giving t em a ig score in

    that component of the tender.

    Over t e next coup e o years Geo e ieves t e re iance on provi ing

    evidence of a safety management system will increase significantly.

    A itiona y, a ar greater emp asis wi e p ace on a companys

    SMS as a measurement of their performance, rather than simply on

    their price.

    SMS & AERODROMESJust as t e current SMS P ase 1, 2 & 3 requirements

    are a transition to CASR Part 119 SMS requirements

    for Australian aerodrome operators followed a similar

    transition. CASR Part 139 (sa ety stan ar s or

    Australian aerodromes) came into effect in May 2003,

    with a 1 Novem er 2005 ea line for aero romes

    with international operators; and 1 January 2007

    deadline for all other certified aerodromes. Keith

    Tonkin, of Aviation Projects, outlines case studies o

    two very different aerodromes which implementednew SMS.

    NORTHERN PENINSULAAIRPORT (YNPE)

    BACKGROUND

    Northern Peninsula Airport (NPA, formerly Bamaga/

    Injinoo Airport) is located on the northern tip of Cape

    York Peninsula in far North Queensland. Like many

    remote communities, the five Aboriginal and Islandercommunities o t e Nort ern Peninsu a area re y

    heavily on air transport for access to medical and other

    essentia support services. T e airport is t ere ore a

    critical element of community infrastructure.

    To provide for an expected increase in operator

    capability, the airport was prepared for certification

    in late 2007, and received its aerodrome certificate

    early in 2008. A critical condition of certification was

    assurance y t e Nort ern Peninsu a Area Regiona

    Counci , w ic manage t e airport, t at t ey wou

    provide adequate resources and funding so that the

    aerodrome would meet regulatory requirements.

    Not only did the SMS satisfy one of the requirements

    for certification, but importantly, it was a way of

    being proactive by identifying existing and potential

    issues and the resources and management actions to

    address them.

    SMS DEVELOPMENT

    The airport management had limited knowledge of

    how to develop and implement an SMS. So after first

    oo ing at t e princip es an met o o ogy o an SMS

    in t e CASA- eve ope SMS temp ate, t ey participate

    in a workshop to identify risks to the safe operation of

    t e airport. T ese ris s an t eir associate treatments

    were documented in a risk register and treatment plan,

    in MS Excel format. By using Excel, which is readily

    available, local airport management staff could view,

    manage and manipulate the register document easily.

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    Some of the issues identified in the development of theSMS, an actions ta en to recti y t em are as o ows:

    1. Emergency callout Limitations because of fixed-

    ine and mobile phones meant that the airport

    manager (who also does the refuelling) was not

    always contactable for callout by emergency

    services such as the Royal Flying Doctor Service

    (RFDS). A satellite phone was therefore provided

    to t e airport manager.

    2. Frequency confirmation Although a Unicom

    service was available, limitations associated with

    sta avai a i ity an ra io equipment, as weas significant frequency congestion on the large

    CTAF(R) shared with nearby Horn Island Airport

    and other airports in the Torres Strait, led to the

    ecision to establish Northern Peninsula Airport

    as a separate CTAF(R) and to install a combined

    AFRU/PAALC. This process will be concluded with

    t e August 2009 amen ment o ERSA.

    D-H R NF RE EEN RI K

    As wit any aviation activity, espite t e intention

    to proactively manage safety risks, unforeseen risks

    requiring reactive management action occur from

    time to time. Some incidents which occurred at NPA,

    and how these were managed to minimise future

    risks are as follows:

    1. Near miss A light a ircraft landed short

    of the runway while conducting a circuit to

    and, due to failure of the throttle cable. The

    subsequent emergency response revealed

    some opportunities or improvement in re ation

    to call out procedures, telecommunications

    systems and response vehicle capabilities. The

    airport manager reporte t ese issues, w ic

    were discussed with airport management

    an other stakehol ers for consi eration an

    implementation. Results were recorded in the

    ris register an treatment p an.

    2. Pavement ai ure groun water in tration o t e

    runway pavement required urgent repairs to be

    carried out at short notice. This required closure

    o t e airport or a num er o ays on severa

    occasions, with implications to RPT operators,

    emergency services etc. A full engineering designo pavement repairs & a itiona rainage was

    commissioned immediately. The pavement repairs

    were carried out in accordance with the engineering

    designs provided. The results of these activities were

    recor e in t e ris register an treatment p an.

    Further drainage & runway pavement upgrades are

    scheduled when funds are available.

    STAKEHOLDER CONSULTATION

    All of the above issues required engagement with

    sta e o ers to ensure t at t ey un erstoo an

    accepted the risk treatments being implemented,

    and that an acceptable level of safety would be

    maintaine . T ese sta e o ers inc u e aircra t

    operators and agents, council staff, local community

    mem ers, regu atory aut orities, supp iers an

    customers.

    Sometimes change can bring about unintended

    consequences, so during the development of

    risk treatments, stakeholders were asked for

    t eir input regar ing potentia impacts to t eir

    activities, including operational implications,

    amended procedures, most appropriate means ocommunication etc.

    Stakeholders received information concerning the

    treatment actions w ic a een etermine ,

    through email broadcasts to user groups, newspaper

    articles, telephone, fax, industry publications and

    newsletters, NOTAMs as well as AIP/ERSA and other

    in ormation sources.

    SMS ONGOING MANAGEMENT

    Airport management accepts that risks need to be

    managed proactively. They organise meetings of

    t e SMS sa ety committee every six mont s or so to

    review the SMS and the risk register and treatment

    plan, so that planned actions to treat known risks

    happen; potential risks are identified and actions put

    in place to treat them.

    T e meeting a so ta es an consi ers reports an

    information from the previous period relevant to the

    SMS, suc as a - oc reports or ot er in ormation;

    and safety/technical inspection reports.

    ...itwasawayofbeingproactiveby

    identifying

    existingandpotentialissuesandthere

    sources

    andmanagementactionstoaddressthe

    m.

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    SAFETY CULTURE

    Increased regulatory obligations as a certifiedairport under CASR 139, as well as status as a

    security-controlled airport under transport security

    regulations meant the community had to reconsider

    its approach to the airport. Improved maintenance

    of infrastructure and services, restrictions to access,

    more rigorous operational procedures and increased

    management invo vement a so require a prioritisation

    of funding and human resources, so the airport

    management met its regu atory requirements.

    SUNSHINE COAST AIRPORT(YBMC)

    A K R UN

    Sunshine Coast Airport (SCA), owned and operated

    by Sunshine Coast Regional Council, is Australias

    twelfth-largest airport by passenger numbers. It

    supports jet RPT services operate y Jetstar, Tiger

    and Virgin Blue; numerous fixed and rotary wing

    training organisations, including Singapore Flying

    Co ege; as we as aircra t maintenance an support

    operations. It is a security-controlled airport with

    screening requirements.

    Sunshine Coast Airport is better resourced than

    Northern Peninsula Airport, but has its own unique

    issues ecause o its muc greater scope an sca e

    of operations, and its correspondingly more

    compex comp iance an reporting requirements.

    It is also approaching limitations in operational

    capacity roug t a out y an unanticipate increase

    in passenger numbers and the type of operations

    conducted at the airport.

    INTEGRATION WITH OTHER RISK-

    BA ED MANA EMENT PR RAM

    Because o t e increase scope, sca e an comp exity

    of activities it conducts and supports, Sunshine Coast

    Airport manages a num er o ris - ase comp iance

    programs in addition to the SMS. These include

    an environment management plan, a security ris

    management plan (part of the Transport Security

    Program), a workplace health and safety program

    an an asset management program.

    As well as these statutory requirements, all significant

    projects undertaken at the airport involve a proactive

    orma ris management component.

    Sunshine Coast Regional Council also requires all

    significant risks (including business continuity, financial

    and legal liability issues) to be managed as an outcome

    of the airports annual performance plan.

    Managing these separate programs creates a

    signi cant issue. T ey o not a ave t e same ris

    criterialikelihood and consequence descriptors, risk

    matrix, management an reporting actions require ,

    level of acceptable risk etc. This disparity makes

    allocating resources effectively

    Photo: courtesy Sunshine Coast Airport

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    ManageSARTIMEsand help us to help youYou can also nominate, modiy and cancel a SARIME by radio -

    i the other preerred methods are not available. Be mindul that

    when using VHF there may be delays i AC are experiencing busy

    periods. I using HF, reception can ofen vary and you may need to

    repeat your details several times.

    SARIMEs do not have to be held by AusFIC. Any responsibleperson nominated by you a spouse, trusted riend, your company

    or ying school can hold your SARIME. It is important to

    ensure the person you nominate has a description o the aircraf you

    are ying, is amiliar w ith the details o your ight and has all your

    relevant contact details. Tey must be able to provide emergency

    services with accurate inormation i needed.

    I a SARIME held by an AS unit is not cancelled by the

    nominated time, attempts will be made to contact you. I these

    communications ail, an emergency Uncertainty Phase will

    be declared.

    AusSAR will be notied o the expired SARIME and wi ll take over

    responsibility or the response. AusSAR has extensive resourcesand the expertise to locate you and conrm your sae arrival or to

    initiate emergency assistance.

    When cancelling your SARIME use the correct phraseology.

    Always use the phrase cancel SARIME (as per AIP GEN .-

    ..). Other phrases such as cancel SAR do not adequately

    distinguish VFR and IFR ights and may cause conusion.

    Remember at the end o your ight to ask yoursel Have

    I cancelled my SARIME?

    For urther inormation about SARIME management contact

    Fiona Lawton at [email protected]

    Managing Search and Rescue (SAR) times and cancelling

    them at the end o a sae ight is a critical responsibility o

    pilots in command.

    It ensures that Air raffic Services (AS) and emergency response

    authorities such as AusSAR (Australian Search and Rescue) or the

    police know that youve arrived saely. It also prevents Airservicesinitiating unnecessary search and rescue activities a highly

    resource intensive, and at times costly, process.

    When nominating your SARIME ensure it is long enough to

    cover the duration o your ight including the time you may need

    to access suitable communication acilities to cancel it. Consider

    nominating an end o ying day SARIME, rather than one or each

    stage o a multi-stage ight. Having too many SARIMEs in the

    system can get conusing or all operators pilots included.

    When planning a ight that does not enter controlled airspace

    ensure you give AS inormation about:

    the aircraf ca llsign or identication

    aircraf type

    departure point

    destination

    number o persons onboard

    a nominated SARIME.

    Te best way to notiy, change and cancel a SARIME held by

    Airservices is by telephoning Airservices Flight Inormation Centre

    (AusFIC) on (as per AIP ENR .- ..).

    You can also lodge your SARIME over the Internet. I lodging

    your SARIME this way, make sure you telephone the Brieng

    Office to conrm that your SARIME has been received.

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    International Accidents Incidents 06 April 2009 - 30 May 2009

    Australian Accidents/Incidents 1 April - 29 May 2009

    Aircraft Location Fatalities Damage Description

    06-April Fokker F-27Friendship 400M

    Bandung-HuseinSastranegara Apt,Indonesia

    24 Written off The Fokker F-27 was returning from a parachuting exercise. Onlanding the aircraft contacted a hangar near the runway 29 thresholdand there was a 20-knot crosswind at the time of the accident.

    09-April British AerospaceBae-146-30

    amena, Indonesia Destroyed On approach to runway 15 the Bae-146-300 entered cloud andstruck the side of Gunung Pike Mountain bursting into flames.

    17-April Cessna 208B Grandaravan

    Canaima Airport,enezuela

    Written off The Cessna 208B Grand Caravan crashed shortly after leavinganaima due to an engine failure.

    19-April Boeing 737-800 Montego Bay-SangsterInternational Airport,Jamaica

    0 None After the Boeing 737-800 landed a Jamaican man burst onto theplane, brandishing a gun. He wanted to leave the country & firedthe gun once through the open cabin door. Flight attendantsmanaged to negotiate the early release o all 174 passengersan two crew mem ers. tary po ce came an t e ac erwas arreste .

    26-April Douglas DC-3C San Juan-Luis MuozMarn Apt, Puerto Rico

    0 Writ ten of f During taxi, the Douglas DC-3C had fire in the cockpit. The crewand cargo loader evacuated.

    27-April Boeing 737-2 K9 Guadalajara-DonMiguel Hidalgo y

    ostilla Apt, Mexico

    0 Substantial The crew of the Boeing 737 selected the undercarriage down onnals to Guadalajara but did not get a down and locked indication.

    They performed a fly past and the tower controllers confirmedthat the undercarriage was not fully down and locked. The flightcrew carried out a belly landing on runway 28.

    29-April Boeing 737-275 Massamba, Bandundu

    rovince, Congo

    7 Written off A Boeing 737 was destroyed during an accident near Massamba

    Village, Bandundu Province, Democratic Republic of Congo.30-April Antonov 2 Written off The Antonov 2 made 3 attempts to land in poor weather

    condition including heavy snow and hit power lines.

    08-May Tupolev 154M Mashad Airport, Iran 0 Substantial The Tupolev 154M encountered bad weather. The aircraftuselage sustained 1.8G acceleration forces and was struck by

    hail stones. The flight diverted to Mashad and landed normally.The fuselage sustained substantial damage.

    08-May McDonnell DouglasMD-90-30

    Riyadh-King KhalidInternational Airport,Saudi Arabia

    Substantial The MD-90-30 landed on the runway veered off and the righthand main gear collapsed.

    10-MayBritish Aerospace3201 Jetstream 32

    Utila Airport, Honduras 1 Written offAuthorities found and confiscated 1500kgs of cocaine on boardthe aircraft. Reportedly the aircraft ran out of fuel in rainyweather and attempted a forced landing.

    20-MayLockheed C-130H

    Hercules

    near Madiun-Iswahyudi

    Airport, IndonesiaWritten off

    The C-130H Hercules was on approach when it hit four houses,killing the occupants of one house. It then skidded into a riceeld, and burst into flames on impact.

    26-May Antonov 26siro-Matari Airport,Congo DemocraticRepublic

    Written offThe Antonov 26 was destroyed when it crashed on approach.The three flight crew members received fatal injuries.

    30-May -42-a ore rport,

    PakistanSubstantial

    e -42 was su stant a y amage w en t e nose gearand main undercarriage collapsed. It ran off the runway, skidded2 000ft and across a drainage ditch.

    Notes: compiled from information supplied by the Aviation Safety Network (see www. aviation-safety.net/database/) and reproduced with permission. While every effort is made to ensure accuracy,neither the Aviation Safety Network nor Flight Safety Australia make any representations about its accuracy, as information is based on preliminary reports only. For further information refer to final reportsof the relevant official aircraft accident investigation organisation. Information on injuries is unavailable.

    Date Aircraft Location Injuries Damage Description01-Apr obinson R22 Beta Murwillumbah (ALA),

    NSWSerious The crew were practising forced landings.The helicopter sank in

    the final stages of the autorotation - the main rotor blade struckthe tail boom.

    01-Apr Cessna 152 Maryborough (Vic)Aerodrome, VIC

    Serious ue to an unstable approach, the aircraft ballooned on flareoutand subsequently landed hard on runway 35. The aircraft

    ounce tw ce nose own, co aps ng t e nose an ng gear.

    02-Apr o nson 22 eta roserp neWhitsunday CoastAerodrome, QLD

    Serious Serious t was reporte t at t e e copter co e w t t e runway.e two occupants susta ne n ur es. e nvest gat on s

    cont nu ng.

    07-Apr Boeing 737-7Q8 TownsvilleAerodrome, QLD

    Serious Nil As the rear cabin door was closed, the airstairs were removedfrom the aircraft. A ground crew member, closing the door atthe time, fell through the gap between the airstairs and theaircraft, and was seriously injured.

    09-Apr Yakovlev Yak-52 Albury Aerodrome,NSW

    Serious Nil The aircraf ts engine stopped soon af ter star tup. The pilot lef tthe cockpit to swing the propeller but left the magnetos on.As the pilot touched the propeller, the engine started and thepropeller struck the pilot on the right hand, the right arm andthe right leg. The pilot was seriously injured.

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    11-Apr Grob G-115B arafield Aerodrome,SA

    Serious he aircraft bounced and floated on touchdown. The pilotincreased power and retracted the flaps for a go-around, but theaircraft banked to the left and impacted the runway. The aircraftslid off the runway to the left and came to rest on a taxiway.

    12-Apr per -25-235 1awnee

    ena a ero rome,VIC

    nor Serious During the landing roll, the aircrafts left main landing gear tyreburst. The left wing tip and propeller struck the ground, and theaircraft flipped, sustaining serious damage.

    14-Apr Piper PA-31-350Chieftain

    Dalby (ALA), QLD Nil Serious After selecting landing gear down, the left main landing gearwould not extend. The pilot diverted the aircraft to Oakey where amanual gear extension also failed. After orbiting to burn fuel, thepilot conducted a wheels-up landing.

    15-Apr ippsland (GA-8)eronautics Airvan

    ape Barren IslandALA), TA

    Nil erious hile taxiing for departure in windy conditions, the pilot lostcontrol of the aircraft which flipped over.

    16-Apr per -18-150Super Cub

    arooc y oreSunshine CoastAerodrome, 153 M22Km, QLD

    nor Serious During banner towing, the aircrafts engine failed and the pilotconducted a forced landing onto a beach. During the landing roll,the aircraft nosed over at the waterline.

    20-Apr Robinson R44 IIRaven

    Edenhope (ALA), 220T 27Km, VIC

    Fatal Serious It was reported that the helicopter struck powerlines and collidedwith the ground. The pilot sustained fatal injuries. The investigationis continuing.

    22-Apr ell 206B Jetranger ynyard Aerodrome,91 M 30Km, TA

    Nil erious fter takeoff, the helicopter was turned downwind and losttail rotor authority. The helicopter descended from 30 ft A Land landed heavily. The tail boom was broken and the skidssustained damage.

    23-Apr Robinson R22 El Questro (ALA), NNEM 70Km, WA

    Nil Serious During mustering, and while hovering above water, the tail rotorlost effectiveness and the helicopter impacted the water rightside down. The helicopter was destroyed.

    01-May Cessna 182R Skylane Hayes Creek (ALA),SW M 9Km (DouglasStation), NT

    Minor Serious During takeoff from a station road, the aircraft did not acceleratenormally due to the left wheel dragging in long grass. Afterbecoming airborne, the aircraft began veering left uncontrollably.The pilot landed the aircraft but was unable to stop the aircraftbefore it struck trees.

    02-May mateur- u t ornetSTOL

    ormantonero rome,

    50Km, QLD

    nor erious s the aircraf t climbed through 250 f t af ter takeof f, the aircraf tencountere w n s ear an ost arspee . e p ot turne r g tto return for landing, but the aircraft stalled and hit the ground.he two occupants suf fered minor injuries.

    03-May Bell 47G-3B1 Rolleston (ALA), 180

    M 2Km, QLD

    Minor Serious As the helicopter climbed through 150 ft AGL at 40 kts, the pilot

    felt a bounce, lowered the collective then heard a loud bang.The engine began racing, so the pilot reduced power and carriedout a forced landing. The helicopter landed heavily and the mainrotor severed the tailboom.

    04-May essna 172Rutlass

    ockhamptonerodrome, W M5Km, LD

    Nil erious he aircraft touched down half-way along the runway strip,over-ran it and collided with a barbed wire fence, resulting inserious damage.

    05-May o nson 22 e ta Halls Creekero rome,

    50 m,

    ata Serious t was reporte t at two e copters co e w e muster ng.e nvest gat on s cont nung.

    07-May Beech 58 Baron near Garden PointAerodrome, NT

    Nil Serious When the landing gear was selected down, it failed to extend.The pilot subsequently diverted to Darwin and conducted awheels-up landing.

    07-May essna 210N

    enturion

    roote Eylandt

    erodrome, 225 M9Km, NT

    Nil erious During the approach to runway 10, the aircrafts engine failed and

    the pilot force-landed on mud flats.

    14-May Cessna 172RSkyhawk

    an a ot ero rome, Serious During the landing on runway 24L, the aircra t bounced threetimes before the student pilot took off. After the subsequentlanding, it was found that the propeller had struck the runwayand the nose landing gear tyre had burst.

    19-May Cessna R182 SkylaneRG

    Canberra Aerodrome,ACT

    Nil Serious While on downwind for runway 12, the nose landing gear wheeldetached from the aircraft. The aircraf t landed on the mainlanding gear and nose gear strut. The aircrafts propeller struckthe runway and damage was caused to the nose leg forks andnose gear door.

    23-May per -30 w nomanche

    Cessnock ALA , NS erious he pilot did not complete the short final checks and landed theaircraft with the landing gear retracted.

    29-May Cessna 152 Moorabbin Aerodrome,

    VIC

    Nil Serious During a touch-and-go landing on runway 13L, the pilot over-

    corrected the aircraft after encountering crosswind and theaircraft ran off the runway, coming to rest in a ditch.

    Text courtesy of the Australian Transport Safety Bureau (ATSB). Disclaimer information on accidents is the result of a co-operative effort between the ATSB and the Australian aviation industry. Dataquality and consistency depend on the efforts of industry where no follow-up action is undertaken by the ATSB. The ATSB accepts no liability for any loss or damage suffered by any person or corporation resultingfrom the use of these data. Please note that descriptions are based on preliminary reports, and should not be interpreted as findings by the ATSB. The data do not include sports aviation accidents.

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    PO Box 2018 Redcliffe North QLD 4020 P:07 3204 0965 F:07 3204 1902 W:www.bobtait.com.au E:[email protected]

    BOB TAITSAVIATION THEORY SCHOOL

    Has New Premises at Redcliffe Aerodrome - Queensland

    Full-time BAK and PPL courses now available! Check out our web page at www.bobtait.com.au

    Courses available full-time or by home study

    All CPL subjects plus IREX BAK & PPL

    LEADING EDGE SAFETY SYSTEMSThe LEADER In Aviation Safety Management Services

    We are a group of aviation safety specialists with

    previous airline, CASA and general aviation backgrounds.

    e o er pract ca an ta ore serv ces to tand can assist you with meeting the followin

    For more information on our services and to find out about us,

    please visit our website http://www.leadingedgesafety.com.au

    or call Dr Graham Edkins on 0410 522 541

    e av at on n tr g CASA re ir e t :

    about us,

    y.com.au

    Then go to CASAs homepage:Click on education/seminars on the

    home page drop-down menu.

    Like to attend one of CASAs AvSafety seminars?

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    Cozartprovides peace of mindwith saliva drug testing.

    Cozart has a highly advanced reader which removes user error or

    bias through accurate analysis and recording of results. Processing

    five drug classes in only five minutes, Cozart significantly reduces

    workforce downtime. All tests are fully supervised, decreasing

    any chances of tampering and adulteration. Australian police trust

    the accuracy and robustness of Cozart and currently use this

    technnology across five states. Cozart is also being utilised by CASA

    as part of their random testing program.

    For more information, email [email protected] or

    telephone 1300 368 378.

    Cozart saliva drug testing

    Innovation for generations.

    ac groun at a , Am er says. I t in t e act t at I new itt e in

    the first place about aviation has helped if I had known about the

    huge cost and the demands of the study involved, I may have been put

    off. The Sir Donald Anderson Award Based on examination results,

    the first prize is $3,000, with the winners of second and third place

    receiving $2,000 and $1,000.

    Amber has had some extra motivation to do well. My partner Michael

    and I have studied together for our exams over the years, so there has

    een some ea t y competition.

    We met w en stu ying to comp ete a Bac e ors Degree in Science

    (Aviation) at Edith Cowan University. For the past two years Amber has

    worked for Skippers Aviation and Michael as a flight instructor for China

    Southern at its flying college in Western Australia. They have both just

    accepted positions at China Southern as Metro 23 first officers.

    CASA sponsors a num er o aviation in ustry

    organisations, and as part of this program,

    CASA representatives recently attended the

    Australian Women Pilots Association annual

    conference in Port Lincoln, South Australia.

    Aviation safety advisor for South Australia,

    Mal Wardrop, presented a number of AvSafety

    seminars to conference participants, and

    Tanya Rush presented the CASA-sponsored

    Sir Donald Anderson Award for 2009 at the

    awards dinner.

    T is awar recognises outstan ing aca emic

    achievement in professional aviation studies

    y a ema e trainee pi ot, an is name in

    honour of the late Sir Donald Anderson, who

    made a significant contribution to aviation in

    Austra ia, Tanya Rus exp aine .

    Winner of the award was Amber Lee Grech.

    I actually dont come from an aviation

    High-flyingwomen

    Amber accepts her award fromCASAs Tanya Rush

    CASA AvSafety Advisor, Mal Wardropaddresses conference delegates

    By Jessica Beange

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    In the 35 years leading up to 2003, there wasan average of one mid-air collision per year.

    However, since December 2007 there have

    been seven mid-air collisions, resulting in nine

    fatalities. This is a concerning increase.

    he majority of mid-air collisions occurred in the circuit area. Additionally,

    there have been a number of near misses at busy aerodromes.

    Detailed are some key safety factors and practical recommendations

    to assist pilots in avoiding mid-air collisions. This list is notexhaustive, nor are these recommendations the only factors a pilot

    should consider.

    Situational awareness

    Maintaining situational awareness can save your life

    know what is going on around you

    predict what could happen.

    High cockpit workload is a significant factor in a pilot losing situational

    awareness. Hig tra c ensity, ra io congestion, instructiona ig ts

    and inexperience can increase cockpit workload.

    Make sure you:

    prepare and plan your flight

    prioritise your tasks and remain alert

    listen for other radio calls to identify other aircraft positions

    consider re-scheduling if traffic density or radio congestion increase

    to an uncom orta e eve .

    You nee eig tene situationa awareness uring iverse an

    complex circuit operations at busy aerodromes. Infringement of

    opposite circuit ig t pat s uring contra circuit operations an

    management of different aircraft speeds and performance in the circuit

    are especially important factors.

    To minimise these risks, you should:remain clear of the opposite circuit, dont

    drift after takeoff and dont overshoot

    turning onto finals

    maintain an active lookout for traffic in the

    other circuit

    familiarise yourself with the speed and

    performance of other aircraft.

    Lookout

    The first and last line of defence

    An e ective oo out is essentia a ways

    assume that you are not alone. See and

    avoi princip es are common y use , ut

    have limitations. Alerted see and avoid can

    e more e ective, ut is not a ways possi e.

    Most mi -air collisions occur when one aircraft

    collides with another from behind, or both

    aircraft converge from a similar direction.

    You should:

    maintain an effective lookout in all

    directions, including behind

    not become complacent, even if you are

    ami iar wit an aero rome

    increase vigilance in high-risk areas,

    including inbound reporting points and in

    the circuit area

    ensure you sig t any prece ing aircra t

    before turning finals, otherwise consider

    going aroun

    be aware of, and manage blind spots as part

    of your lookout technique

    MID-AIRC SSOLLI ION

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    use stro es, eacons an an ing ig ts to increase aircra t visi i ity

    turn your transponder on, code 1200, ALT mode.

    Radio procedures

    Talk is not cheap

    Aviate, navigate and communicatetheyre your priority. Effective

    communication assists situationa awareness.

    Inci ent reports s ow pi ots sometimes o not o ow or un erstan

    instructions given by air traffic control (ATC). When ATC gives you an

    instruction, you should:

    acknowledge ATC in a timely manner

    think about what is required and then action the instruction

    tell ATC if you do not think you can comply with an instruction

    advise ATC if you do not understand an instruction

    not be afraid to ask ATC for assistance.

    W en an aircra t is equippe wit ua ra ios, incorrect se ection

    of frequencies or transmission mode may create communication

    difficulties. To avoid these:

    always confirm that the frequency, transmit selector and volume

    control are set for the ra io in use

    ensure you ave receive an un erstoo t e ATIS we e ore t e

    approac point.

    Piots can ecome con use w en t ey receive an unexpecte instruction

    rom ATC, or are una e to ma e a p anne ra io ca . To avoi con usion:

    have an alternative plan if you are unable to make your inbound

    call to ATC due to frequency congestion

    monitor radio communications, and do not transmit during ATC

    instruction and responses with other aircraft

    make radio calls brief, clear, to the point and use standard phraseology.

    GAAP proceduresEvery GAAP aerodrome has location-

    specific procedures.

    Surveys o a genera aviation proce ures

    aerodromes (GAAP) show that some pilots

    misun erstan t e roe o ATC at a GAAP

    aerodrome. Remember:

    in VMC, t e pi ot in comman must

    sig t an maintain separation rom

    other aircraft

    comply with ATC instructions, and if

    unable to comply advise ATC

    advise ATC if sight is lost of other

    aircra t.

    ATC contro s runway operations wit

    landing and take-off clearances. They

    a so provi e tra c in ormation an or

    sequence instructions.

    Often pilots do not have a contingencyplan for frequency congestion.

    Common congestion problems occur at

    GAAP approac points an on na

    approach. Remember:

    if the frequency is congested, have a plan B

    consider specific risks at your location

    consider re-scheduling if traffic density

    or radio congestion increase to an

    uncomfortable level.

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    cant walk

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    T10

    Flight Safety editor, Margo Marchbank,

    caught up with Dale Elliott recently

    in Brisbane when he addressed

    Australian Parachute Federation

    conference delegates.

    Dale Elliott has just achieved an Australian first. In May 2009, he

    became Australias first paraplegic solo skydiver. And dismiss images

    o a w ee c air p ummeting eart war s rom your min t ats

    parked at the drop zone, waiting. Without legs that work, Dale has

    engineered an ingenious solution to land safely on his rear.Its een a ong journey to t is point. At t e recent Austra ian Parac ute

    Federation of Australia conference in Brisbane, conference delegates

    gave the down-sitting Dale a standing ovation after hearing his story.

    He started flying as a year 11 student when he was 16; went solo in

    January 1992, and got his PPL about a year later. He joined the army,

    atten ing t e sc oo o arti ery at Man y, a antastic experience, an

    then took on an apprenticeship as a LAME in 94-95. It was really

    tough then to get a job as a pilot, he says, You had to have been flying

    for about six to seven years. During his apprenticeship, he continued

    to fly, dropping skydivers at weekends, and completing his night-VFR

    and twin-engine CIR ratings. It was all working out really well.Achieving this first began six years ago, when, Dale recounts, he was

    a commercia pi ot oo ing to get is ours up e ore trying or t e

    airlines. He recalls that time vividly: on 23 December 2002, he was in

    an Aero Commander, flying through 8,000ft, and through the window

    in the roof, he could see the stars. He remembers thanking these

    constellations out loud that night. Im 26 years old; Ive been married

    to a won er u woman or six years; an Ive rea ise t e ream Ive

    had ever since I was eight or nine of being a pilot. It doesnt get much

    better than this. Three days later, Dale and wife Erika were spending

    Christmas with the family at Waikerie in South Australias Riverland,

    where he grew up.

    On Boxing Day, he went for a spin on his cousins Yamaha R6 motorbike.

    Ive ridden bikes on my parents farm since I was eight, but I swerved

    to miss a dog, and came off. I wasnt going fast, but I knew something

    was wrong when I couldnt feel my legs. That something was damage

    to his spinal cord at T10 (the tenth of twelve thoracic vertebrae), which

    left him a paraplegic and reliant on a wheelchair. Its also, according to

    Da e, t e most common rea o owing motorcyc e acci ents, ecause

    the thoracic and lumbar vertebrae (T10-L2) at the base of the rib cage

    are in a region where the spine is most flexible, and therefore more

    prone to injury. (Qua rip egic injury i ewise most common y occurs in

    the region of the cervical vertebrae [C5-C7] of the neck.)

    Iveriddenbikesonmyparentsfa

    rmsinceIwaseight,butIswervedtomissadog,andcameoff.

    Dreamstime.com

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    Wit typica etermination, is stay in re a in A e ai e was

    remarkably short. Its all about taking some control back, he explains,

    necessary to counter t e ee ings o epression an ope essness

    which for many follow spinal cord injury. He was soon back working

    for an aircraft charter company in Adelaide in charge of pilots

    rosters and schedules. I was one, and now had to manage them, he

    explains ruefully. But, determined to set himself more challenges,

    Dale decided to resume skydiving. Flying jump planes had been a

    way of getting some extra flying hours before his accident, and he

    had done 37 jumps before as an able-bod. Solo, as a paraplegic,

    was something completely different. With the support of Alan Gray

    o A e ai e Tan em S y iving, Greg Smit o SA S y iving, an

    instructor and photographer, Curtis Morton, Dale set about learning

    ow to skydive as a paraplegic. There was no manual on this, so we

    a to go ac to asics, e exp ains. I manage to trac own a

    South African guy by the name of Peter Hewitt. Hes also a para and

    es now one a out 120 jumps, so es given some great a vice.

    Dales T10 paraplegia means that his abdominal core strength

    is compromised, and balance is affected - and, both legs are

    paralysed. Skydiving conventionally requires all of these abilities, for

    WhatcanIdoinamatterofminutestogetmylegsupoutoftheway?

    manoeuvra i ity in t e air, an or an ing.

    Deve oping is gear as een very muc a

    process of trial and error. His pants rigging

    came about as an answer to the question:

    What can I do in a matter of minutes to get my

    legs up out of the way? He needs control of his

    egs in aunc ing imse out o t e p ane, an

    especia y or an ing, so t at e can pu is

    egs up out o t e way, an an sa e y on is

    rear. I was an aircraft engineer, and worked

    with a lot of fibreglass, sitting my CASA exams

    for composite materials. I also cut my teeth on

    gliders at WaikerieI used to go and help with

    the glider repairs. Theyre some of the best

    fibreglass repair guys in Australia. All this put

    him in good stead for dealing with the unique

    situation of jumping with paralysed legs.

    The irony of developing his equipment didnt

    escape Dale. A month before his first jump,

    he was swathed in a full plaster cast, looking

    very much like the seen-after shots of a

    disastrous jump. The plaster cast was inspired

    by a 70s military movie he tracked down

    on YouTube, which showed how to make an

    arm cast on the battlefield. The plaster cast

    worked perfectly, Dale says, as the mould for

    making the fibreglass braces. These custom-

    made fibreglass braces fit into the legs of a

    pair of motocross pants, which are furthermodified with extra padding to cushion his

    rear on landing. The braces keep his legs rigid

    when necessary, and the cords on the braces

    pull his legs up out of the way for landing. The

    Mark 1 braces have scored a few bumps and

    crashes and theyre beginning to show some

    fatigue cracks so its now on to braces Mark

    11. Dale is planning on making these from

    5mm polypropylene plastic, working on the

    t eory t at t ey wi e muc more exi e

    and durable. Fellow paraplegic skydiver, Peter

    Hewitt, has had a special polypro orthopaedic

    pair made, but the $1000 cost of these is a

    eterrent. Da es wor ing on ma in s o

    T is stu (po ypropy ene) to wors gre

    wit . A I nee is an an n er; a jigsaw;e-gr ;

    an a commercia -siz .ove

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    A TYPICAL JUMPDale talks through what happens on a typical jump:

    As t e aircra t c im s t roug 11,000 t on t e way to

    12,000ft, everyone gets up and checks their gear. We

    check each others pins (which hold the main and reserve

    containers closed); put on our helmets and goggles; and

    check altimeters. As we approach our exit point, we open

    the oor an look out to make sure its all clear an we can

    see the drop zone. I then make my way across the floor

    to t e oor an swing my egs out to ace t e oncoming

    70kt wind. I count Out, in, GO! and push off the aircraft

    out into the blue sky. I throw my arms and head back and

    counteract any s ipping y twisting my s ou ers aroun .

    I check my altimeter every thousand feet or so, which

    means about every five seconds. I do some turns and

    have a play around, and might do a somersault or two.

    As I am approaching 3000ft, I track to the left or right of

    the aircraft track, so I dont fly under another skydiver

    who has jumped after me. I deploy my main parachute at3000 t an quic y c ec t at it is ying straig t an eve .

    I identify the landing area, check the wind drift and then

    set myself up to pull up my legs and attach the straps to my

    chest. This takes about 30 seconds. After that I have a play

    around and do some turns under canopy, and at 1500ft I

    will be joining a downwind leg. At 600ft I turn onto finalI

    can adjust my rate of descent by using front and rear risers

    on the canopy. This increases and decreases the angle of

    escent. I can get my an ings wit in a ew metres o t e

    target. Having 2000 flight hours and many more landings

    as given me an a vantage. T e parap egia as no e ect

    on my canopy control skills or technique. I just need toland softly every time to avoid injuries. This means I need

    to pick my days to jump.

    Fitness is also a big thing for Dale. Preparation for his first solo attempt

    focused on building up strength and improving his circulation. You

    need strength to move around the plane, he explains, and then

    t eres t e 10-15 g c ute to consi er as we . So in t e ea -up to t e

    jump, he was doing 20-30km hand cycle rides, getting his heart rate up

    over two to t ree ours. Mastering t ese comp exities, an coming up

    with the means to skydive as a paraplegic is no different, Dale argues,

    He a so ives wit a mo i e parac ute onate y Parac utes

    Australia; the harness is adapted to allow for his different body

    position. Whereas able-bodied skydivers adopt an arched position to

    remain stable in freefall, Dale needs to concentrate more on using his

    upper body to deflect air and stay in a stable position. His arms are far

    more active.

    Photo: Curtis Morton

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    to w en, as a pi ot, you rst get in a p ane

    an oo at a t e instruments. Youve got to

    chunk it, and break it down, taking one thing

    at a time.

    Dales also a sit-down stand-up comic, whohas braved hecklers at various comedy

    venues; and a motivational speaker. Following

    is appearance at t e Bris ane con erence, e

    ies to New Zea an in ate June. Hes excite

    y t at prospect, ecause two NZ companies

    ave o ere to sponsor is equipment:

    NZ Aerosports are provi ing a new Icarus

    Safire2 canopy; and Deepseed are making

    a customised jump suit. The braces fitted to

    external leg pockets in the new suit will give

    much more flexibility in preparing for a jump.Hell talk to employees of both companies

    about his skydiving journey.

    Then theres the future challenge planned

    or 2012. He gures it wou ma e quite a

    statement for those with disabilities if he

    and fellow para skydiver Peter Hewitt were

    to skydive into the stadium for the opening

    of the 2012 London Paralympic Games.

    HefiguresitwouldmakequiteastatementforthosewithdisabilitiesifheandfellowparaskydiverPeterHewittweretoskydiveintothestadiumfortheopeningofthe2012LondonParalympicGames.

    Daeani

    nstructorAanGray

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    From is contact wit t e UK Parac ute

    Association, hes found that they dont have

    any paraplegic skydivers, so he and Peter are

    planning on putting a proposal to the Games

    opening committee when its convened by

    t e Lon on organisers ater t is year. Peter

    an I ave to get toget er an get to now

    each others style and fall rates in the sky,

    and well need demonstration licences,

    which require strict examination and landing

    accuracy skil ls.

    AsFlight Safetywent to press, Dale gained his

    A icence, an is now a qua i e s y iver.

    According to CEO of the Australian Parachute

    Federation, Susan Bostock, Dales nailed

    it (his solo certification). Its quite mind-

    boggling, she says. Its difficult enough for

    a e- o ie s y ivers. T e it Susan re ers to

    is the accuracy required for solo certification

    to achieve this, skydivers must land within 25

    metres o t e target in t e rop zone on 10 occasions. Some peop e

    who become paraplegics lock themselves away, and become recluses,

    but Dales different. He just says, This is the card Ive been dealt, and

    makes the most of it.

    Recently, CASA has been working closely with parachute bodies such as theAPF, on a range of safety procedures including cloud jumping procedures

    manuals, and aircraft operation and maintenance issues. In September-

    OctobersFlight Safety, we take a closer look at these developments.

    For more information

    u

    The Australian Parachute Federation (APF) website.

    e s t e organsat on w c contros s y vng

    and parachuting at nearly all the civilian operations in

    Australia.

    www.saspc.asn.au South Australian Spor t Parachute Club

    www.daleelliott.com ales website

    www.scia.org.a pinal Cord In uries Australia

    www.paraquad.org.au araplegic & Quadriplegic Association of NSW

    Hejustsays, ThisisthecardIvebeendealt,andmakesthemostofit.

    Photo:CurtisMorton

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    Following the above article

    which ran in the last issue of

    Flight Safety, several readers,

    members of the Airtourer

    Co-operative Ltd, expressed

    concern as to the manner

    in which the Victa Airtourer

    was represented. Their level

    of expertise in this area is

    undoubted.

    However, t is artic e was esigne to increase

    genera awareness in t e aviation community

    about fatigue of airframe structures, especially

    with respect to aerobatic (those which

    experience increased Ghigh G manoeuvring)

    aircra t. T e ac o recor eeping was

    identified as a major concern in a recent

    audit of an operator, sparking the subject

    article in Flight Safety Australia as a follow-

    up action to provide information to otheroperators. The article was deidentified to

    protect the privacy of those concerned.

    The article was intended to be general

    n nature an provi e in ormation an

    examples of aircraft types with life limitations.

    Both constraints on space in the magazine

    an re uctance to pu is ata t at may

    e seen as an a ternate to re erring to t e

    controlled version (source document) of the

    limitation were reasons the article does not

    contain in-depth specifics on any particular type.

    T e artic e re ers t e rea er instea to t e AMM, TCDS or any app ica e

    airworthiness directives for details on their types specific limitations.

    The details of the Airtourers specific fatigue sites were not spelled out,

    but components of the wing and tailplane structure are affected (pleaserefer to AD/VAT/41 Amendment 1 for details). Comments made

    pertained to the wing structure, and not wing failure per se.

    T e message was to o your omewor on t e type you are inten ing

    to purchase. The airworthiness of this type may well be updated in the

    future, given feedback from industry through the SDR system, accidents

    or etter now e ge o atigue sites. A t oug t ere was consi era e

    research done in preparation of this article, it does not pretend to be all

    you need to know about any aircraft type. A full and complete statement

    on Airtourer atigue was not t e mission ere.

    One writer referred to the Airtourer SDRs coincidentally appearing in

    the same issue, describing them as normal maintenance jobs. The

    whole point of the SDR system is to alert other operators to areas they

    s ou consi er in norma maintenance. Moreover, it is t e registere

    operator who is responsible for the maintenance of an aircraft, and for

    the keeping of its records. The LAMEs who do the maintenance have

    t eir own responsi i ities, ut managing t e maintenance an recor

    keeping for someone elses aircraft are not part of them.

    The illustration of the dramatised wing failure was an artists

    impression, and as such, obviously does not purport to represent a real

    occurrence. It did serve to attract attention and provides interest in

    the magazine article. The graphic designer used an actual photograph

    of another Airtourer on the following page, and believing that the

    orientation suited the layout better, reversed this photograph. Giventhe pressure of meeting tight deadlines, unfortunately this error was

    not picked up until after the magazine had gone to print.

    i hGa oeuvrin

    Theillustrationofthedramatisedwing

    failurewasanartistsimpression,andas

    such,doesnotpurporttorepresenta

    realoccurrence.

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    There is also the potential or terfacial bondsin

    etween components to ai t e a esivedegrades over time. Many composite airframes

    in sma er sport an ig t GA ai cra t use on e

    joints. A structure which cont s bonded joints

    presents some potentia on -term structurag

    durability issues.

    Repair o an entire y on e structure is a so

    challengingyou cant just unbolt a damaged

    pane . T e amage area usua y as to e

    cut away and replaced, potentially inducing

    secondary delamination. Also, determining the

    extent o t e amage in composites requiresa competent person, usually trained in non-

    estructive testing (NDT), to assess t e amage.

    This is not the case in a metal structure where

    t e extent o t e amage is usua y apparent to

    anyone, even those without NDT training.

    Fatigue is not an issue in a -composite aircra t,

    and material strains are low, but in-service skin

    repairs, residual strength with hidden damage,

    and lightning protection are concerns. Additionally,

    there are some regulatory and industry capability

    issues which should be considered.

    Composite materials are not the new technology they once were.

    Many basic sandwich/honeycomb panel composites have been in useon civilian aircraft for decades and on military aircraft for even longer.

    A common perception of the layperson, and even some in the industry,

    is that composite materials do not age, or age at a much slower rate

    than the equivalent metal structure. While it is true that fibre laminate

    structures are ess suscepti e to atigue t an t eir meta counterparts,

    composites have their unique ageing problems.

    AN AGEING ALL-COMPOSITE AIRCRAFT?

    While many would think all-composite aircraft are immune to

    ageing, some issues are eginning to emerge. T ese inc u e, ut are

    not limited to:

    hidden damage (delamination and disbond);

    environmental susceptibility (i.e. trapped moisture freezing and

    causing delamination); as well as

    UV- and adhesive degradation. Many adhesives were not tested

    for long-term durability in service. Many were tested only for

    static and peel strength when newly applied, so there are many

    nknowns here.

    Cracking of filler materials, normally non-structural and in many

    cases aesthetic in nature, but in some cases indicating a more

    serious structural problem underneath.

    Richard Castles, one of CASAs senior airworthiness engineers, with a

    special interest in composite materials, looks at ageing and composites.

    Maintaining

    ageingcomposite-materialaircraft

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    ...withacompositestructure,evenasevereimpactmayleavenodiscerniblemarksontheoutsideofthestructure.

    COMPOSITE NDT CAPABILITY

    The capability of industry NDT practitioners to detect and assess damage to advanced

    car on re composite structure is emerging as an area w ic nee s to e a resse .

    Are there any training or knowledge gaps? Are all industry NDT practitioners up-to-

    speed with advanced composite structural inspection, so that they can competentlyetect i en amage to primary an secon ary structures?

    New structural technologies employed in modern aircraft include carbon fibre

    wrapped or laminated structure with carbon fibre stiffeners; monolithic 3D

    composite structures; and extensive structure in which hidden disbonding or

    delamination may not be immediately apparent. New equipment and inspection

    tec niques wi e require to inspect t is type o a vance structure. Are t ere

    any training requirements which need to be identified? Do local and international

    regulatory NDT qualification standards reflect the level of expertise required to

    inspect primary composite structures?

    INDUSTRY REPAIR CAPABILITY

    Some maintenance organisations in Australia possess very limited

    capa i ity to un erta e a vance repairs o composite primary structure.

    Current capability is generally confined to standard structural repair

    manual (SRM)-based repairs on primarily secondary structure, and

    imite to a uminium Nomex one com pa e on e

    and laminate structures.

    Modern composite aircraft contain a significant po tion of mono thi i

    carbon/resin composite structure with integral stiffening, which will

    make repairs more complex. Heat control during curing will require

    a vance equipment, not just t e tra itiona ayup an eatblanket approach. Major repairs will require advanced autoclave

    capability, or advanced in-situ heat blanket repairs.

    GROUND HANDLING DAMAGE

    The characteristics of the structure of modern composite aircraft

    are so different that it is not simply the maintenance technicians

    an engineers w o may nee specia ist training. Wit a

    conventional metal structure, any collision between the aircraft

    and ground support equipment is immediately apparent - there

    wi e ings, ents, gouges, scratc es, etc.

    You can assess the severity of such damage, often simply by

    looking at it. However, with a composite structure, even a

    severe impact may leave no discernible marks on the outside

    of the structure. But it may be a different story insidewith

    consi era e structura amage: e amination, is on s,

    broken fibres, rovings and so on. Research has examined

    the effects of high energy/blunt impact damage scen rios,

    suc as t ose invo ving groun support equipment.

    Continued on page 41...

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    SELECTED SERVICE DIFFICULTY REPORTS

    1 April 2009 31 May 2009

    AIRCRAFT ABOVE 5700KG

    Airbus A320232 Horizontal stabiliser FOD.

    Ref 510008448RH horizontal stabiliser FOD. A small 7/32in by 1/4in ringspanner was found protruding from the inboard end of thestabiliser forward of the elevator. Spanner was visible fromthe ground. Suspect spanner was left behind following lastmaintenance. Investigation continuing.

    Airbus A320232 MLG lockstay actuator hose swivelfitting ruptured. Ref 510008410LH main landing gear lockstay actuator hydraulic hoseswivel fitting cracked/ruptured. Loss of green systemhydraulic fluid.P/No: 201655144. TSN: 12,116 hours/7,124 cycles.

    Airbus A320232 Pilots window cracked.Ref 510008409LH aft cockpit window cracked beyond limits. Window

    heat computer PNo 416-00318-003 also replaced as a

    precaution.P/No: NP1653133. TSN: 11,317 hours/7,596 cycles.

    Airbus A330201 Cabin jet fuel smell. Ref 510008428Strong smell of jet fuel in cabin following engine start.Investigation and ground runs could find no evidence offumes. Suspect air conditioning pack ingested exhaustfumes during engine start.

    Airbus A330202 HF system unserviceable.Ref 510008189No1 HF system inoperable.

    Airbus A330303 Landing gear wheel brakedragging. Ref 510008179No5 wheel brake assembly dragging. Investigation foundpart of brake stator missing.P/No: 215782.

    Airbus A330303 Water cooling units overheated.Ref 510008231Water cooling units inside toilet stowage overheated.Investigation found dust build-up over time caused cloggingof the cooling fins.

    Airbus A380842 Engine cowl latch access panelmissing. Ref 510008362No2 engine cowl latch access panel partially missing.Approximately 508mm (20in) of the forward end of thepanel was missing with the rest of the panel delaminated.

    Investigation continuing.P/No: L5412335000600.

    Airbus A380842 Rack receptacle socket and printedcircuit card overheat damage. Ref 510008477Socket 11 of rack receptacle 3223XZ and associated printed

    circuit card 3020XZ damaged due to overheating. Hole burntin rack buss bar cover. Associated wire 2473-1037-DR10-Wand terminal also heat damaged. Investigation continuing.P/No: 11532986.

    BAC 146100 Engine pylon attachment bracketcracked. Ref 510008323No1 engine pylon attachment bracket cracked betweenthree fasteners at upper attachment flange attachingbracket to lower wing skin at forward spar.

    P/No: HC571H0288000. TSN: 40,340 hours/25,852 cycles.

    BAC 146300 Fuel boost pump wire chafed.Ref 510008479LH inner fuel boost pump wire 056C chafed and shortcircuiting to ground. Wire located between LH rear wingfuselage fairing disconnect and fuel pump connector 2QG5P.P/No: 056C. (1 similar occurrence)

    BAG JETSTM4101 Flap cable rod end failed.Ref 510008449Flap system teleflex cable rod end failed due tosuspected binding at clevis pin attachment to flapposition transducer.P/No: 745284.

    Boeing 717200 PSEU faulty. Ref 510008215Proximity Sense Electronic Unit (PSEU) faulty. PSEUwas on first flight since fitment the previous night.P/No: 893602. (1 similar occurrence)

    Boeing 737376 EGT indicator unserviceable.Ref 510008296No2 engine EGT indicator failed.P/No: WL202EED6. TSN: 4,898 hours. TSO: 4,898hours. (4 similar occurrences)

    Boeing 737376 Fuselage stringers cracked.Ref 510008227Fuselage stringers cracked in the following areas:- 1.BS870 Stringer 23R - crack length 38.1mm (1.5in) 2.BS880 str inger 24R - crack length 38.1mm (1.5in) 3BS903 stringer 25R - crack length 33.78mm (1.33in)Investigation continuing.(4 similar occurrences)

    Boeing 7373YO Nacelle strut mid-spar fuse pincorroded. Ref 510008208LH nacelle strut mid-spar outboard fuse pin corrodedon inner surface of the head and in the head radius.Found during inspection iaw AD/B737/344 (FAA AD2008-21-03 and Boeing SB 737-54-1044).P/No: 311A10922.

    Boeing 737476 Aileron tab assembly loose.Ref 510008438LH aileron tab assembly had excessive free play. Foundduring inspection iaw EI 734-27-85R1.

    Boeing 737476 Autopilot computer faulty.Ref 510008458Autopilot computer faulty.P/No: 4051600923. TSN: 52,352 hours. TSO: 22,944

    hours. (1 similar occurrence)Boeing 737476 Cabin altitude warning switchunserviceable. Ref 510008354Cabin altitude warning switch failed to operate.P/No: 214C502.

    Boeing 737476 Copilots window jammed.Ref 510008349First Officers No2 window (emergency exit) externalrelease handle cam would not release the latch.Investigation found that pin assembly PNo 66-19355-1located in the internal handle had backed out to a pointthat the release cam would not function.P/No: 5717623096. (1 simil