No fatalities

2020-07-02: Cessna Aircraft Company 208B (VH-DQP) — 56 km west-north-west of Sunshine Coast, Queensland

56 km west-north-west of Sunshine Coast, Queensland

On July 2, 2020, a Cessna Aircraft Company 208B (registration VH-DQP) was involved in an aviation accident near 56 km west-north-west of Sunshine Coast, Queensland. No fatalities were reported. Investigators recorded the probable cause as: The pilot did not appropriately use the supplemental oxygen system while operating at flight level 110, likely resulting in mild hypoxia. During the flight, the pilot’s ability to remain awake was likely reduced by a combination of fatigue and mild hypoxia. This summary draws on records from the Australian Transport Safety Bureau (ATSB).

Sourcesthe Australian Transport Safety Bureau (ATSB)Primary reportUpdated 1779785869Data APIEditorial standards

A pilot became unresponsive for about 40 minutes, flew past destination after falling asleep. Intermittent supplemental oxygen use at FL110 and chronic fatigue cited as contributing factors.

Incident Overview

A pilot en route from Cairns to Redcliffe became unresponsive for approximately 40 minutes and flew past their intended destination. The pilot reported falling asleep, citing only slight tiredness and a warm cockpit environment as possible influences. Communications with air traffic control were impaired; the pilot sounded groggy and struggled to comprehend instructions upon restoration, gradually improving over time.

Oxygen Use

The pilot initially planned to operate at 10,000 feet but climbed to flight level 110 (FL110) due to weather. At that altitude, use of supplemental oxygen is mandatory. However, the pilot reported using oxygen only intermittently during the flight. According to the ATSB’s medical specialist, occasional oxygen use would not have been sufficient to offset any cumulative effects of hypoxia.

Fatigue and Sleep Inertia

A sleep history review indicated that the pilot likely experienced chronic fatigue due to inadequate sleep the night before and disturbed sleep over an extended period leading up to the incident. Most people require 7–8 hours of sleep for maximum alertness and performance. Inadequate sleep can result in sleep debt—the difference between required sleep and actual sleep—which can accumulate and lead to degraded performance and uncontrolled sleep episodes.

When communications were restored, the pilot exhibited signs of sleep inertia, including grogginess, disorientation, and impaired cognitive performance. These effects typically last 5 to 30 minutes after awakening, but can persist longer if the individual is abruptly awoken, especially when sleep-deprived.

Hypoxia Considerations

Research indicates that hypoxia at FL120 can increase fatigue and reduce vigor. While loss of consciousness is a symptom of hypoxia, it is atypical for someone experiencing hypoxia to regain consciousness while remaining at the same altitude without additional oxygen. Based on medical specialist information and studies on mild hypoxia at moderate altitudes, the ATSB determined that it was unlikely the pilot lost consciousness solely due to mild hypoxia. Instead, the pilot fell asleep likely due to a combination of fatigue and mild hypoxia, possibly exacerbated by dehydration and diet.