| Status: | Definitief |
| Datum: | 29 APR 2001 |
| Tijd: | 13:12 |
| Type: | Cessna 208 Caravan I |
| Luchtvaartmaatschappij: | Mr A. McVinish |
| Registratie: | VH-MMV |
| Constructienummer: | 208-00003 |
| Bouwjaar: | 1985 |
| Aantal vlieguren: | 8576 |
| Motoren: | 1 Pratt & Whitney Canada PT6A-114 |
| Bemanning: | slachtoffers: 0 / inzittenden: 1 |
| Passagiers: | slachtoffers: 1 / inzittenden: 11 |
| Totaal: | slachtoffers: 1 / inzittenden: 12 |
| Schade: | Afgeschreven |
| Gevolgen: | Written off (damaged beyond repair) |
| Plaats: | 4 km (2.5 mijl) NW of Nagambie, VIC (Australië)
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| Fase: | Manoeuvreren (MNV) |
| Soort vlucht: | Parachute |
| Vliegveld van vertrek: | Ballieston East, VIC, Australië |
| Vliegveld van aankomst: | Ballieston East, VIC, Australië |
Beschrijving:The Cessna Caravan was carrying 11 skydivers and climbed to FL140. As the first team of four exited the aircraft, the middle parachutist’s reserve parachute’s pilot chute deployed. Due to the bent over position of that parachutist, the action of the ejector spring in the pilot chute pushed the chute upwards and over the horizontal stabiliser of the aircraft, pulling the reserve canopy with it. The parachutist passed below the horizontal stabiliser resulting in the reserve parachute risers and lines tangling around the left elevator and horizontal stabiliser. Eleven seconds later, the empennage separated from the aircraft and the left elevator and the parachutist separated from the empennage. The aircraft then entered a steep, nose-down spiral descent. The pilot instructed the remaining parachutists to abandon the aircraft; the last one left the aircraft at an altitude of 9,000 feet. The pilot transmitted a mayday call, shutdown the engine and left his seat. On reaching the rear of the cabin, he found that the roller blind had closed, preventing him from leaving the aircraft. After several attempts, the pilot raised the blind sufficiently to allow him to exit the aircraft, and at an altitude of approximately 1,000 feet agl, he deployed his parachute and landed safely.
SIGNIFICANT FACTORS:
"1. The parachutist’s reserve parachute deployed prematurely, probably as a result of the parachute container coming into contact with the aircraft doorframe/handrail.
2. The reserve parachute risers and lines tangled around the horizontal stabiliser and elevator.
3. The reserve canopy partially filled, applying to the aircraft empennage a load that exceeded its design limits.
4. The empennage separated from the aircraft and the elevator separated from the empennage, releasing the parachutist and sending the aircraft out of control."
Bronnen:
» News.com.au
» Richard Barrett
Official accident investigation report
| investigating agency: | Australian Transport Safety Bureau (ATSB) - Australia  |
| report status: | Final |
| report number: | ATSB report 200101903 |
| report released: | 22-APR-2002 | | duration of investigation: | 358 days (11.9 months) | | download report: |
Cessna Caravan VH-MMV at Nagambie, Victoria 29 April 2001
(ATSB report 200101903)
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Veiligheidsmaatregelen
Following the accident, the Australian Parachute Federation (APF) highlighted the dangers inherent in containers contacting parts of aircraft to her members and also issued a warning poster to personnel at drop zones and instructors.
The designer of the roller blind has amended the design to include a device to lock the blind in the open position, and a placard warning that the blind must be locked open during parachuting.
ATSB issued 3 Safety Recommendations
| Issued: -- | To: Australian Parachute Federation | Safety recommendation R20010185 |
| The Australian Transport Safety Bureau recommends that the Australian Parachute Federation advise its members of the need to use exit techniques and positions that avoid any contact between the parachute container and the aircraft. |
| Issued: -- | To: Australian Skydiving Association | Safety recommendation R20010186 |
| The Australian Transport Safety Bureau recommends that the Australian Skydiving Association advise its members of the need to use exit techniques and positions that avoid any contact between the parachute container and the aircraft. |
| Issued: -- | To: CASA, Australian Parachute Federation, Australian Skydiving Association | Safety recommendation R20010187 |
| The Australian Transport Safety Bureau recommends that the Civil Aviation Safety Authority, Australian Parachute Federation and the Australian Skydiving Association review the safety advantages of requiring pilots, where practicable, to wear parachutes during parachute operations. (Closed - Accepted) |
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