Incident Boeing 737-476 (SF) ZK-TLJ,
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ASN Wikibase Occurrence # 310889
 
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Date:Friday 10 June 2022
Time:10:47
Type:Silhouette image of generic B734 model; specific model in this crash may look slightly different    
Boeing 737-476 (SF)
Owner/operator:Airwork
Registration: ZK-TLJ
MSN: 24432/1879
Year of manufacture:1990
Fatalities:Fatalities: 0 / Occupants: 2
Aircraft damage: None
Category:Incident
Location:167 km west of Meekatharra, WA -   Australia
Phase: En route
Nature:Cargo
Departure airport:Perth Airport, WA (PER/YPPH)
Destination airport:Port Hedland Airport, WA (PHE/YPPD)
Investigating agency: ATSB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
Airwork flight TFX13, a Boeing 737-476(SF), had taken off from Perth Airpor when the flight crew noted a 340 ft discrepancy between the captain’s and first officer’s altitude when operating in reduced vertical separation minimum airspace.
They had also observed an airspeed and Mach number difference, but this was within the manufacturer’s stipulated limits. The aircraft was descended, and the flight crew completed the Quick Reference Handbook - Airspeed Unreliable procedure. It was determined that the first officer’s instruments were reliable for a return to Perth. After landing, ground crews found foreign residue adhered to the lower surfaces of all 4 pitot-static probes.


The ATSB established that, during an engine ground run 2 days prior to the incident, the pitot‑static probe covers were not removed, and the automatic pitot heat was not isolated as required by the ground run procedures checklist. As a result, the covers melted onto the probes. Although cleaned, residue remained on the probe surfaces, which had the potential to compromise the accuracy of the pitot-static instruments in-flight. It was also established that pitot‑static probe covers made from polyvinyl chloride material were used, which increased the risk of the covers melting onto the probes if left on during engine operation.

Air traffic control were not advised of the altitude discrepancy of 340 ft, which exceeded the maximum allowed altimetry system error for reduced vertical separation minimum airspace of 200 ft. Therefore, adequate vertical separation with other aircraft could not be assured by air traffic control.

Accident investigation:
cover
  
Investigating agency: ATSB
Report number: 
Status: Investigation completed
Duration: 10 months
Download report: Final report

Sources:

ATSB
https://www.flightradar24.com/data/aircraft/zk-tlj#2c2f6488

History of this aircraft

Other occurrences involving this aircraft
20 June 2022 ZK-TLJ Toll Aviation, opb Airwork 0 167 km west of Meekatharra Airport, WA non

Revision history:

Date/timeContributorUpdates
13-Apr-2023 09:34 harro Added

Corrections or additions? ... Edit this accident description

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