ASN Wikibase Occurrence # 322802
Date: | Thursday 5 June 2003 |
Time: | 18:00 |
Type: | de Havilland Canada DHC-6 Twin Otter 300 |
Owner/operator: | Ontario Ministry of Natural Resources |
Registration: | C-GOGC |
MSN: | 750 |
Year of manufacture: | 1981 |
Engine model: | Pratt & Whitney Canada PT6A-27 |
Fatalities: | Fatalities: 0 / Occupants: 1 |
Aircraft damage: | Destroyed, written off |
Category: | Accident |
Location: | Lake Wicksteed, ON -
Canada
|
Phase: | Manoeuvring (airshow, firefighting, ag.ops.) |
Nature: | Fire fighting |
Departure airport: | Hornepayne Airport, ON (YHN/CYHN) |
Destination airport: | Hornepayne Airport, ON (YHN/CYHN) |
Investigating agency: | TSB |
Confidence Rating: | Accident investigation report completed and information captured |
Narrative:The DHC-6-300 amphibious aircraft was performing firefighting operations in the vicinity of Lake Wicksteed. The aircraft was scooping water from Lake Wicksteed for the nearby fire. This was the third scooping from the lake, and the approach was flown in an easterly direction in light wind conditions. The pilot performed the inbound checks, lowered the water probes to begin filling the float water tanks, and touched down on the lake. Within a short time, he observed water spraying from the overflow vents located on top of the floats, indicating that the tanks were filled to capacity. He pressed a button on the yoke to retract the probes, and the aircraft immediately nosed over into the lake in a wings-level attitude and began to sink. The aircraft came to rest on the bottom of the shallow lake in an inverted attitude with the floats above the surface of the water.
FINDINGS AS TO CAUSES AND CONTRIBUTING FACTORS:
1. Ministry of Natural Resources DHC-6 SOPs were not followed, and the Vital Action checklist was not fully completed during the approach. As a result, the bomb door armed switch on the centre panel was not selected OFF after the previous water bombing run and prior to the scooping operation.
2. After completing the water scooping operation, the pilot unintentionally selected the bomb door push button switch instead of the adjacent probe switch. Because the bomb door armed switch on the centre panel was left ON, the bomb doors extended into the water. Drag from the doors and the water rushing into the door openings resulted in the aircraft nosing over in the water.
3. The hinged cover plate for the bomb door push button switch was not re-installed following maintenance to replace the push button switch. The push button was exposed, making an inadvertent selection more likely.
Accident investigation:
|
| |
Investigating agency: | TSB |
Report number: | TSB Report A03O0135 |
Status: | Investigation completed |
Duration: | 10 months |
Download report: | Final report |
|
Sources:
Air International (October 2003, p.19)
Revision history:
Date/time | Contributor | Updates |
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