Australian pilot falls asleep mid flight | Flies 60 miles past destination

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The Australian Transport Safety Bureau (ATSB) said in an investigation report released today that mild hypoxia likely played a part in an incident when the pilot of a Cessna Caravan fell asleep at the controls in July last year. The pilot was ferrying C208B VH-DQP at 11,000 feet from Cairns to Redcliffe when it overflew its destination and failed to respond to ATC radio calls for 40 minutes. An RFDS King Air, FlyDoc 425, was sent to intercept the aircraft east of Brisbane, where the RFDS crew tried to trigger the Caravan's TCAS, but the pilot remained unresponsive.

After flying 60 nm past Redcliffe, the pilot regained consciousness, but appeared confused in communications with ATC. Eventually, ATC guided the pilot to land the aircraft at Gold Coast Airport. The pilot had earlier requested a climb to 11,000 feet from 10,000 due cloud, and had begun to use the Caravan's supplemental oxygen intermittently, whereas pilots of unpressurised aircraft flying above 10,000 are required to be on oxygen constantly.

The ATSB found that inadequate sleep likely produced fatigue and that intermittent oxygen use at 11,000 feet likely caused mild hypoxia, which exacerbated the fatigue and contributed to the pilot falling asleep.

Sources

“The pilot was likely experiencing a level of fatigue due to inadequate sleep the night before and leading up to the incident.”

Accident Facts

Date
2 July 2020
Aircraft
Cessna 208B
Registration
VH-DQP
Flight
Cairns to Redcliffe ferry flight
Cruise altitude
FL110 / 11,000 ft
Event
Pilot incapacitation; no response for about 40 minutes
Diversion
Gold Coast Airport
Investigation
ATSB AO-2020-032
Outcome
Safe landing; no injuries
Timeline
12:30 EST —
VH-DQP departed Cairns for Redcliffe under IFR.
1.
15:41 —
The pilot climbed to FL110 after encountering icing and poor visibility in cloud.
2.
16:34 —
The pilot made contact with the Burnett sector.
3.
About 16:54 —
ATC attempts to contact the pilot were unanswered.
4.
17:25 —
ATC upgraded the uncertainty phase to a distress phase.
5.
17:35 —
After about 40 minutes without contact, the pilot woke and communications resumed.
6.
18:01 —
VH-DQP landed safely at Gold Coast Airport.
7.

Times are shown only where established; otherwise the sequence is chronological.

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