News & Comment

Unexpected Load: B407 USL / External Cargo Accident in PNG

Posted by on 4:17 pm in Accidents & Incidents, Helicopters, Human Factors / Performance, Logistics, Mining / Resource Sector, Safety Management

Unexpected Load: B407 USL / External Cargo Accident in PNG Bell 407 P2-HSE of Niugini Helicopters was destroyed during take off at Kiunga in Papua New Guinea following confusion about an underslung load according to an investigation report published by the PNG AIC. On 15 February 2017, at approximately 05:00 UTC (15:00 local), the pilot…was commencing a normal translational-lift takeoff, to the south-south west, across the aerodrome apron, and over the terminal buildings.  The flight was a VFR charter operation carrying two passengers...

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Running on Fumes: Fatal Canadian Helicopter Accident

Posted by on 11:34 pm in Accidents & Incidents, Helicopters, Human Factors / Performance, Regulation, Safety Culture, Safety Management, Special Mission Aircraft

Running on Fumes: Fatal Canadian Helicopter Accident In its investigation report into a fatal accident to Bell 206B Jet Ranger C-GHHU operated by Ridge Rotors. the Transportation Safety Board of Canada (TSB) concluded that the absence of a specific minimum fuel quantity was a key factor in a survey helicopter’s loss of power and collision with trees. History of the Flight On 5 September 2016, the helicopter was operating a daytime flight to survey mountain pine beetle near Whitecourt, Alberta with the pilot and two surveyors on board. This...

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Luxair F50 LOC-I Accident 6 November 2002

Posted by on 7:25 pm in Accidents & Incidents, Design & Certification, Fixed Wing, Human Factors / Performance, Safety Management

Luxair F50 Loss of Control – In-flight (LOC-I) Accident 6 November 2002 Cockpit confusion, a rushed approach, procedural deviations and a design flaw featured in a fatal turboprop LOC-I accident in Luxembourg in 2002. History of the Flight Fokker 50 LX-LGB of Luxair was operating a Berlin to Luxembourg flight on 6 November 2002 with 22 persons on board. According to the revised accident investigation report of the Luxembourg Ministry of Transport released in 2009 (and its appendicies), the aircraft had been in a hold at 8 h 52 min 49s,...

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How a Cultural Norm Lead to a Fatal C208B Icing Accident

Posted by on 5:43 pm in Accidents & Incidents, Fixed Wing, Human Factors / Performance, Safety Culture, Safety Management

How a Cultural Norm Lead to a Fatal C208B Icing Accident At 09:00 on 11 December 2015 Cessna 208B Caravan C-FKDL, operated by Wasaya Airways, departed Pickle Lake Airport (CYPL) Ontario to Angling Lake / Wapekeka Airport (CKB6) Ontario as flight WSG127.  This was a cargo flight under visual flight rules (VFR) operated by a single pilot. According to the Transportation Safety Board of Canada (TSB) final report: The aircraft was certified for day and night VFR as well as instrument flight rules (IFR) flight, and it was prohibited from flight in...

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Contained Failure / IFSD of a PW4056 on 2 October 2015

Posted by on 4:07 pm in Accidents & Incidents, Fixed Wing, Maintenance / Continuing Airworthiness / CAMOs

Contained Failure / IFSD of a PW4056 on 2 October 2015 On 2 October 2015, while in cruise at 33,000 feet, Delta Air Lines Boeing 747-451 N662US experienced a loss of power from its Number 3 engine, a Pratt & Whitney PW4056. The US National Transportation Safety Board (NTSB) say in their safety investigation report that the flight crew heard a loud “pop” that was followed by the engine’s N1 (fan speed) decreasing while the exhaust gas temperature (EGT) increased.  The engine was shut down and the aircraft diverted safely....

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High G Drama at Cold Lake

Posted by on 5:57 pm in Accidents & Incidents, Fixed Wing, Human Factors / Performance, Military / Defence, Safety Management

High G Drama at Cold Lake On 20 June 2017 two Royal Canadian Air Force (RCAF) Boeing CF-188 Hornets, call signs Mig-1 and Mig-6, were returned to CFB Cold Lake, AB after Maple Flag 50 training missions. When overhead runway 13R at 1500 ft above ground level and 470 knots, the RCAF safety investigators report that: Mig-1 entered the overhead break in a right hand turn followed three seconds later by Mig-6 [CF-188 CF188796]. During the overhead break Mig-6 set the throttles to idle, initially set the bank angle to 81 degrees, and pulled up to...

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DMAIB: Risk Assessment Facilitated Taking Risks

Posted by on 7:16 am in Accidents & Incidents, Offshore, Oil & Gas / IOGP / Energy, Safety Management

DMAIB: Risk Assessment that Facilitated Taking Risks The Danish MAIB have published their report on the loss of two Maersk Supply vessels being towed for breaking.  Key staff being made redundant, a risk management system that facilitated risk prone operations and a perception of being “industry frontrunners, capable of solving difficult and novel tasks” all feature in this accident.  The DMAIB say: The DMAIB regards the foundering…as a systemic accident. This means that local and technical circumstances unfolding on board...

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When Green is for Stop: Poor Design HF

Posted by on 6:25 pm in Accidents & Incidents, Airfields / Heliports / Helidecks, Fixed Wing, Human Factors / Performance, Military / Defence, Safety Management

When Green is for Stop: Poor Design HF On 28 April 2017 Cessna 310R VH‑COQ was on approach to Tindal Airport, NT.  Tindal is used by the Royal Australian Air Force (RAAF) as well as being a civil airport.  The airfield is one of around 2000 world wide fitted with a Runway Arrestor Gear (RAG) or Aircraft Arrestor System (AAS) for use by military fast jets.  This uses cables across the runway that can be raised 100 mm off the runway surface to allow a fast jet hook the cable and be decelerated.  When lowered the cable is held just off the...

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Irish Coast Guard Select Aerossurance as Aviation Consultancy

Posted by on 12:01 am in Crises / Emergency Response / SAR, Helicopters, Offshore, Safety Management, Special Mission Aircraft

Irish Coast Guard Select Aerossurance as Aviation Consultancy The IRCG announced on the 26 September 2017 that they have selected Aberdeen based aviation consultancy Aerossurance to be their new aviation consultants after a competitive tender with 7 bidders. Coincidentally, Aerossurance will be presenting at the Flight Safety Foundation International Air Safety Summit in Dublin 23-35 October 2017 on the topic: Achieving peak safety performance: listening and learning Aerossurance is also pleased to be supporting the annual Chartered Institute...

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Production Errors on a SAR Helicopter Full Ice Protection System

Posted by on 12:34 pm in Accidents & Incidents, Crises / Emergency Response / SAR, Helicopters, Human Factors / Performance, Maintenance / Continuing Airworthiness / CAMOs, Offshore, Safety Management

Human Factors: Production Errors on a SAR Helicopter Full Ice Protection System Swedish Maritime Administration Leonardo AW139 SE-JRH was returning to its base in Umeå from a Search and Rescue (SAR) training mission on 9 November 2014. About 10 minutes from landing a caution was displayed for a tail rotor Full Ice Protection System (FIPS) failure. The crew asked for a priority landing and landed safely shortly after. The Swedish Accident Investigation Board (the Statens Haverikommission [SHK]) explain in their report: After engine shut...

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