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They skipped one checklist item, then 427 drones drowned

On July 14, 2023, a much‑publicized drone light show over Victoria Harbour in Melbourne’s Docklands district never made it to the crowd‑pleasing finale. Instead, 427 of the 500 drones crashed into the water after a cascade of control errors and mid‑air collisions sent the swarm spiraling out of control.

A new Australian Transport Safety Bureau (ATSB) investigation, released earlier this month, dissects the disaster in a way that should make every US drone‑show operator — and any drone pilot who flies near people — sit up and take notes. Here are the key takeaways…

What went wrong

Wind invisible to the pilot: Ground‑level gusts were flirting with the Damoda Newton V2.2 drones’ 22‑mph limit before launch, yet the remote pilot‑in‑command (RPIC) did not use a “weather‑drone” test flight or consult high‑altitude readings, both steps written into the company’s wind‑management plan. Once airborne, the GCS (ground‑control‑station) software actually displayed real‑time wind speed, but neither the RPIC nor the co‑pilot knew the readout existed. As the swarm climbed toward the show area, winds more than double the drones’ published capability pummeled the formation.

No automated alert: Version 3 of the GCS lacked an audible or visual alarm for wind exceedances. Without the pilot’s manual scan of an obscure numeric field, there was no cue that conditions had turned unsafe.

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High workload, higher pressure: The RPIC was juggling show‑position changes, client communications, and an inexperienced co‑pilot. The ATSB concludes the pilot perceived “higher‑than‑normal pressure” to get the show airborne, a classic recipe for “get‑there‑itis.”

Snowballing errors: As drones drifted off course, the RPIC tried to loiter and manually “return‑to‑launch” the worst offenders. At that moment, nearly 400 drones lost the data link and executed a failsafe descent — straight into the harbor.

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ATSB’s contributing factors

  1. Launched on the edge: The pilot knowingly took off with winds near the limit and no proof of conditions at show altitude.
  2. Skipped the wind‑check tool: The weather‑drone option, added a month earlier, was ignored because checklists never mentioned it.
  3. Storm stronger aloft: Winds aloft quickly overwhelmed the drones’ motors, causing formation break‑ups, geofence breaches, and collisions.
  4. Software knowledge gap: Pilots didn’t realize a wind‑speed field was staring at them on‑screen.
  5. Pilot overload: Unfamiliar software tweaks, an under‑trained co‑pilot, and live‑event stress eroded decision‑making.

Safety issues the report flags

  • Checklist blind‑spots: Neither the launch checklist nor the pre‑flight “show day” list reminded crews to run a weather‑drone probe.
  • Training on software updates: The operator relied on “learn on the fly” familiarization; formal instruction on GCS version 3 never happened.
  • No wind alert function: Lack of an automated warning left exceedances hidden in plain sight.

Fixes already underway

Operator actions: After the debacle, the show company now requires two CASA‑approved pilots per event, performs single‑drone wind‑test flights before mass launch, inserts multiple go/no‑go gates, and enforces a sterile‑cockpit rule to keep chatty VIPs away from the flight desk during crucial phases.

Manufacturer response: Damoda is evaluating a GCS update that will actively flag wind exceedances so the pilot doesn’t have to hunt for numbers. The ATSB issued a formal safety recommendation urging the alert be added.

Why US drone operators should care

Drone light shows are exploding across the nation, from theme parks to halftime spectaculars, and many use overseas airframes and control software. The Australia incident spotlights universal lessons:

  • Trust but verify winds: An inexpensive “scout drone” climb can reveal a silent jet‑stream not felt on the ground.
  • Software familiarity is currency: If your GCS gets new features, bake refresher training — and updated checklists — into your ops manual before the next gig.
  • Automate the obvious: Audible alerts for wind, battery, or GPS degradation buy precious seconds when hundreds of aircraft demand attention.
  • Manage event pressure: Pilots need bandwidth; assigning a separate “show liaison” keeps client hype from clouding aeronautical judgment.

The ATSB paints a vivid picture of how a single overlooked metric — wind aloft — can scuttle an expensive drone display within minutes. The chain wasn’t forged by one bad link but by several manageable gaps: missing pre‑flight data, hidden software functions, and human pressure. US operators who close those same gaps today can avoid turning their next crowd‑pleaser into an unplanned water feature.

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Author

Avatar for Ishveena Singh Ishveena Singh

Ishveena Singh is a versatile journalist and writer with a passion for drones and location technologies. She has been named as one of the 50 Rising Stars of the geospatial industry for the year 2021 by Geospatial World magazine.