No fatalities

2020-09-23: Piper Aircraft Corp PA-28R-201 (VH-TBB) — 19 km south-east of Moree, New South Wales

19 km south-east of Moree, New South Wales

On September 23, 2020, a Piper Aircraft Corp PA-28R-201 (registration VH-TBB) was involved in an aviation accident near 19 km south-east of Moree, New South Wales. No fatalities were reported. Investigators recorded the probable cause as: An exhaust leak likely exposed the pilot to elevated levels of carbon monoxide in the aircraft cabin, resulting in mild incapacitation. This summary draws on records from the Australian Transport Safety Bureau (ATSB).

Sourcesthe Australian Transport Safety Bureau (ATSB)Primary reportUpdated 1779785813Data APIEditorial standards
Aircraft registered VH-TBB
Aircraft registered VH-TBB. Photo: RuthAS / CC BY 3.0, via Wikimedia Commons

Post-incident ground runs revealed elevated CO in the cabin, resolved after exhaust stack and scat hose repairs. Pilot symptoms and blood test indicated CO poisoning, though COHb level was mildly elevated.

Background

During post-incident ground runs, elevated levels of carbon monoxide (CO) were detected in the aircraft cabin. The issue was resolved after repairs to the exhaust stack and the scat hoses, indicating that the source of the CO was associated with these repaired components.

Findings

Investigators did not identify any obvious breaches that would have allowed CO to enter the cabin. Consequently, the exact pathway by which exhaust gases entered the cockpit on this occasion was not immediately clear.

Pilot Symptoms and Tests

The pilot reported physical symptoms and cognitive effects that were more likely associated with CO poisoning. This conclusion was supported by positive indications on a CO chemical spot detector and a blood test that showed a mildly elevated level of carboxyhaemoglobin (COHb).

COHb Levels and Variability

While the extent of the pilot's symptoms for the recorded COHb level was inconsistent with published literature, research has demonstrated that adverse effects on cognitive functions can occur at COHb levels as low as 3 percent. It is also known that individuals can react differently to COHb.