Coronial
QLDother

Millard, Ross - Non-inquest findings

Deceased

Ross Millard

Demographics

male

Date of death

2015-11-29

Finding date

2018-07-23

Cause of death

Aerodynamic stall following partial engine power loss during takeoff, with impact with terrain

AI-generated summary

Ross Millard, an experienced recreational pilot with 1687 hours experience, died when his Howard Hughes Lightwing GA-912 aircraft suffered partial engine power loss during takeoff and subsequently aerodynamically stalled. The aircraft climbed to approximately 100 feet when engine power reduced suddenly. Rather than immediately lowering the nose to achieve best glide speed (standard emergency procedure), Millard maintained level flight until the aircraft stalled and entered an uncontrolled descent. Multiple factors likely contributed: partial engine failure is more cognitively complex than complete failure; the GA-912 variant had different handling characteristics at stall compared to his own aircraft; attempting to troubleshoot the engine failure increased mental workload; and the instinctive desire to return to the runway influenced decision-making. The coroner found the aircraft was mechanically serviceable before flight, the cause of power loss could not be determined, and this was a survivable emergency had standard recovery procedures been followed.

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

Contributing factors

  • Partial engine power loss of undetermined cause
  • Failure to immediately configure aircraft to best glide attitude after engine failure
  • Complex decision-making associated with partial engine failure versus complete engine failure
  • Different handling characteristics of GA-912 variant compared to pilot's own GR912 aircraft
  • Possible attempts to diagnose engine failure while managing emergency
  • Instinctive response to manoeuvre for return to runway at insufficient altitude
  • High stress and cognitive workload during critical phase of flight
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