Coronial
NSWother

Inquest into the disappearance and suspected death of AA

Deceased

AA

Demographics

male

Date of death

2016-03-21

Finding date

2018-11-30

Cause of death

Exact cause of death remains undetermined

AI-generated summary

In March 2016, AA, a pilot, intentionally crashed his small aircraft into the Pacific Ocean approximately 10-15 kilometres northeast of Cape Byron, New South Wales. The exact cause of death remains undetermined, but the manner of death was ruled intentionally self-inflicted. There was no clinical involvement in this case. The coroner made recommendations to the Civil Aviation Safety Authority (CASA) regarding improvements to medical fitness assessment for pilots, specifically: amending indemnification regulations to encourage wider good faith reporting of medical fitness concerns, and enabling information sharing between CASA and the Commonwealth regarding PBS/MBS prescribing data for medical certificate applicants.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.

Error types

Contributing factors

  • medical fitness assessment gaps
  • lack of information sharing between aviation authority and health systems
  • unclear mental health status or medication use at time of incident

Coroner's recommendations

  1. CASA to consider amending regulation 67.140 of the Civil Aviation Safety Regulations 1998 (CASR) to provide indemnification for wider range of good faith reporting relating to medical fitness by broader range of persons
  2. CASA to liaise with Commonwealth Minister for Human Services to determine basis for sharing PBS/MBS prescribing information relating to persons applying for medical certificates under CASR Part 67
Full text

Source and disclaimer

This page reproduces or summarises information from publicly available findings published by Australian coroners' courts. Coronial is an independent educational resource and is not affiliated with, endorsed by, or acting on behalf of any coronial court or government body.

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