Incident Overview

Date: Thursday 27 April 1995
Aircraft Type: IAI 1124ÿWestwind
Owner/operator: Pel-Air
Registration Number: VH-AJS
Location: 9 km NW of Alice Springs Airport, NT (ASP) – ÿ Australia
Phase of Flight: Approach
Status: Destroyed, written off
Casualties: Fatalities: 3 / Occupants: 3
Component Affected: Aircraft Navigation System (Approach Guidance)Aircraft Navigation System (Approach Guidance)
Investigating Agency: BASIBASI
Category: Accident
On a scheduled freight service flight from Darwin to Sydney, an aircraft experienced a challenging approach to the Ilparpa Range. During descent into Alice Springs, the crew initiated a twin locator/NDB approach, a routine procedure. The approach, initially planned at 5,000 feet, progressed to a specific track, including a loop-shaped approach to the Simpsons Gap Locator. After passing the Locator, the aircraft continued to track approximately 112 degrees M, descending to 2,300 feet before leveling briefly and then climbing slightly before impact. The aircraft struck the top of the Ilparpa Range at 2250 feet.On a scheduled freight service flight from Darwin to Sydney, an aircraft experienced a challenging approach to the Ilparpa Range. During descent into Alice Springs, the crew initiated a twin locator/NDB approach, a routine procedure. The approach, initially planned at 5,000 feet, progressed to a specific track, including a loop-shaped approach to the Simpsons Gap Locator. After passing the Locator, the aircraft continued to track approximately 112 degrees M, descending to 2,300 feet before leveling briefly and then climbing slightly before impact. The aircraft struck the top of the Ilparpa Range at 2250 feet.

Description

The aircraft was on a scheduled freight service from Darwin via Tindal, Alice Springs, and Adelaide to Sydney. The flight from Darwin to Tindal was apparently normal, and the aircraft departed Tindal slightly ahead of schedule at 18:34 CST. On descent into Alice Springs, the crew advised on the MTAF frequency its intention to conduct a twin locator (Locator/NDB) approach to runway 12. The Locator/NDB approach at Alice Springs involves an outbound track of 292 degrees M from the Alice Springs NDB, overhead the Temple Bar Locator to the turn point at the Simpsons Gap Locator. The initial approach altitude is 5,000 ft and the intermediate altitude at Simpsons Gap is 4,300 ft. The inbound track is 112 degrees. The aircraft tracked directly to the Simpsons Gap Locator, arriving there at about 4,300 ft. After passing the Simpsons Gap Locator, the aircraft continued to the Temple Bar Locator, arriving there at about 3,500 ft. Beyond this point, the aircraft continued to track approximately 112 degrees M and descended to 2,300 ft, where it leveled briefly before climbing slightly immediately before impact. The aircraft struck the top of the Ilparpa Range at 2250 feet. SIGNIFICANT FACTORS: The following factors were considered significant in the accident sequence: 1. There were difficulties in the cockpit relationship between the pilot in command and the co-pilot. 2. The level of crew resource management demonstrated by both crew members during the flight was low. 3. The Alice Springs locator/NDB approach was unique. 4. The briefing for the approach conducted by the pilot in command was not adequate. 5. When asked for the ‘minima’ by the pilot in command, the co-pilot called, and the pilot in command accepted, an incorrect minimum altitude for the aircraft category and for the segment of the approach. 6. The technique employed by the pilot in command in flying the approach involved a high cockpit workload. 7. The crew did not use the radio altimeter during the approach.

Primary Cause

Inadequate briefing and insufficient crew resource management during the approach, leading to an incorrect minimum altitude and a high cockpit workload by the pilot in command.Inadequate briefing and insufficient crew resource management during the approach, leading to an incorrect minimum altitude and a high cockpit workload by the pilot in command.

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