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AAIB Bulletin: 2/2018

Piper PA-39 Twin Comanche C/R · Service Bulletins

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Overview

This document is an AAIB Bulletin detailing an accident involving the Piper PA-39 Twin Comanche C/R, registration G-LARE. The incident occurred on September 15, 2017, during a flight intended for revalidation of an instrument rating and a multi-engine proficiency check. The bulletin provides a comprehensive account of the flight history, the circumstances leading to the accident, and the factors contributing to the loss of situational awareness experienced by the crew. It serves as a critical reference for pilots and aviation professionals to understand the importance of maintaining awareness of aircraft configuration during flight operations, particularly in high-workload situations.

  • Aircraft involved: Piper PA-39 Twin Comanche C/R, registration G-LARE.
  • Incident date: September 15, 2017, at 1150 UTC.
  • Crew experience: 18,000 total flight hours, with 80 hours on type.
  • Accident involved retraction of flaps and undercarriage prior to landing.
  • Importance of situational awareness and pre-landing checks emphasized.

Document

Source

Originally published by assets.publishing.service.gov.uk. Sprinkle hosts a reference copy with an added summary, specifications and searchable full text.

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Document details

Type
Service Bulletins
Year
2018
Pages
2
File size
153 KB
Publisher
assets.publishing.service.gov.uk
How rare is it?
5Piper PA-39 Twin Comanche C/R registered worldwide · 0 active

Common. Rarer than 10% of the aircraft models we track.

Documentation completeness
5/7

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In this document

Accident Synopsis

The bulletin outlines an accident where the aircraft was configured for a simulated asymmetric approach with intermediate flaps and undercarriage down. During a left orbit instructed by ATC, the pilot retracted the flaps and undercarriage without realizing it. Upon landing, the propellers and rear fuselage contacted the ground, prompting an immediate go-around. The crew later realized the undercarriage was still retracted.

Flight History

The flight involved a return to Biggin Hill after a previous leg to Southend for an instrument rating revalidation. The crew was instructed to orbit due to traffic ahead, which contributed to the high workload and distraction. The bulletin emphasizes the importance of maintaining awareness of aircraft configuration during such operations.

Contributing Factors

The examiner attributed the loss of awareness to a combination of high workload and distraction from ATC instructions. The bulletin highlights the need for thorough pre-landing checks and situational awareness, especially in busy airspace.

Safety notes

  • Ensure all landing gear and flaps are in the correct position before landing.
  • Maintain situational awareness during high workload situations.

Full document text

66 ©Crown copyright 2018 AAIB Bulletin: 2/2018 G-LARE EW/G2017/09/06 ACCIDENT Aircraft Type and Registration: Piper PA-39 Twin Comanche C/R, G-LARE No & Type of Engines: 2 Lycoming IO-320-B1A piston engines Year of Manufacture: 1970 (Serial no: 39-16) Date & Time (UTC): 15 September 2017 at 1150 hrs Location: Biggin Hill Airport, Bromley Type of Flight: Private Persons on Board: Crew - 2 Passengers - None Injuries: Crew - None Passengers - N/A Nature of Damage: Propellers and ADF antenna broken, air-scoop squashed, slight scruff on tail tiedown Commander’s Licence: Airline Transport Pilot’s Licence Commander’s Age: 61 years Commander’s Flying Experience: 18,000 hours (of which 80 were on type) Last 90 days - 20 hours Last 28 days - 5 hours Information Source: Aircraft Accident Report Form submitted by the pilot and examiner Synopsis The pilot flying and examiner were on the final circuit of a two-hour flight to revalidate an instrument rating and a multi-engine proficiency check. Downwind, the aircraft was configured for a simulated asymmetric approach and landing, with intermediate flaps selected and undercarriage down. They were instructed by ATC to orbit to the left once, late downwind, due to two aircraft ahead of them joining the circuit to land. During the orbit the pilot flying retracted the flaps and undercarriage and neither he nor the examiner realised they were still retracted on the approach to land. During the flare the propellers and rear fuselage contacted the ground and a go-around was immediately initiated. A circuit was flown and an uneventful landing made. History of the flight After flying to Southend, where the pilot flying had just revalidated his instrument rating, the pilot and examiner returned towards Biggin Hill for the pilot to complete a multi-engine proficiency check. The check concluded at Biggin Hill where a number of circuits were to be flown. Downwind on the final circuit, the aircraft was configured for a simulated asymmetric approach and landing, with intermediate flaps selected and undercarriage down. ATC informed them that they were number two to a Spitfire and Hurricane (based at Biggin Hill) 67 ©Crown copyright 2018 AAIB Bulletin: 2/2018 G-LARE EW/G2017/09/06 ahead of them and instructed them to orbit to the left once, late downwind. During the orbit, the pilot retracted the flaps and undercarriage; however, the examiner, whose attention was on the aircraft ahead of them and was not expecting a change in configuration, missed this. After receiving clearance to land, the pilot positioned the aircraft for the approach to land, but neither he nor the examiner realised that the flaps and undercarriage were retracted, and no further landing checks were made. As the aircraft flared, they both heard the propellers and rear fuselage contact the ground and a go-around was immediately initiated. During the ensuing circuit, they realised that the undercarriage was retracted. This was then extended and the aircraft landed without further incident. The examiner, who was the commander for the flight1, attributed the loss of awareness of the fact that the undercarriage had been retracted to a high workload at the end of a busy two-hour flight, with an unusual ATC instruction to orbit late downwind. Both he and the pilot flying were pre-occupied with carrying out this instruction while trying to make visual contact with the aircraft ahead of them and did not give any thought to making additional checks prior to landing. Footnote 1 The pilot flying was acting as Pilot in Command for the revalidation and check-out flight.