News & Comment

Survey Aircraft Fatal Accident: Fatigue, Fuel Mismanagement and Prior Concerns

Posted by on 10:22 pm in Accidents & Incidents, Crises / Emergency Response / SAR, Fixed Wing, Human Factors / Performance, Safety Culture, Safety Management, Special Mission Aircraft, Survivability / Ditching

Survey Aircraft Fatal Accident: Fatigue, Fuel Mismanagement and Prior Concerns On 17 May 2008 Cessna 337A Super Skymaster, N5382S on a marine mammal survey flight, was destroyed when it impacted trees near Eagles Nest Airport, West Creek, New Jersey, during a fuel related diversion.  The pilot and one of the three passengers onboard were killed. The US National Transportation Safety Board (NTSB) determined the probable cause to be: The pilot’s departure with insufficient fuel for the planned flight, and his improper in-flight fuel...

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Alaskan Mid Air Collision at Non-Tower Controlled Airfield

Posted by on 5:25 pm in Accidents & Incidents, Air Traffic Management / Airspace, Airfields / Heliports / Helidecks, Fixed Wing, Human Factors / Performance, Safety Management

Alaskan Mid Air Collision at Non-Tower Controlled Airfield On the afternoon of 5 August 2016 Cessna 210 N1839Z and de Havilland Canada DHC-2T Beaver N30CC, collided in midair while landing at Wasilla Airport (PAWS), Alaska. The flight instructor and student pilot on board the Cessna 210 sustained minor injuries. The pilot and passenger of the Beaver were uninjured. According to the safety investigation report of the US National Transportation Safety Board (NTSB): The flight instructor and student pilot on board the Cessna were conducting...

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Near B777 CFIT Departing LAX (0.3 mi H / 0 ft V)

Posted by on 11:00 am in Accidents & Incidents, Air Traffic Management / Airspace, Fixed Wing, Human Factors / Performance, Safety Management

Near B777 CFIT Departing LAX (0.3 mi H / 0 ft V) According to the US National Transportation Safety Board (NTSB) investigation report issued 7 May 2019 a “near controlled flight into terrain (CFIT) incident occurred near Mt. Wilson, California, when a Boeing 777-300 departing Los Angeles International Airport (LAX) was instructed to turn left toward rising terrain after departure from runway 07R”. The serious incident occurred on 16 December 2016, at about 01:25 local time when Eva Air flight 015, a B777-300, registration B-16726,...

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G200 Leaves Runway in Abuja Due to “Improper” Handling

Posted by on 10:32 am in Accidents & Incidents, Airfields / Heliports / Helidecks, Business Aviation, Fixed Wing, Human Factors / Performance, Oil & Gas / IOGP / Energy, Safety Management

G200 Leaves Runway in Abuja, Nigeria Due to “Improper” Handling On 25 January 2018 Nestoil Gulfstream 200 (G200) 5N-BTF suffered a loss of control and runway excursion during the landing roll at Azikiwe International Airport, Abuja.  The aircraft came to a stop at the right shoulder of runway 22 with the right main landing gear broken off.  Investigators report this was due to the premature use of nose wheel steering, exaggerated by both crew making inputs. The Accident Flight According to the Accident Investigation Bureau Nigeria...

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Ditching of Bristow S-76C++, Off Nigeria, 3 February 2016

Posted by on 8:53 pm in Accidents & Incidents, FDM / Data Recorders, Helicopters, Human Factors / Performance, Offshore, Oil & Gas / IOGP / Energy, Safety Management, Survivability / Ditching

Ditching of Bristow S-76C++, Off Nigeria, 3 February 2016 On 3 February 2016, Bristow Helicopters Nigeria Sikorsky S-76C++ 5N-BQJ ditched while en route from the deepwater ExxonMobil Erha Floating Production Storage Offloading (FPSO) vessel to Murtala Muhammed Airport Lagos. Accident Flight The Accident Investigation Bureau Nigeria (AIB Nigeria) say, in their safety investigation report (issued 25 April 2019), that on the outbound flight the Captain was the Pilot Flying (PF) while the First Officer was Pilot Monitoring (PM): A few minutes...

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USAF Helicopter Hoist Training Accident

Posted by on 6:20 pm in Accidents & Incidents, Helicopters, Human Factors / Performance, Military / Defence, Safety Management, Special Mission Aircraft

USAF Helicopter Hoist Training Accident On 27 April 2011, a USAF Bell UH-1N, 69-6603 of the 512th Rescue Squadron, 58th Special Operations Wing, Kirtland AFB, NM was performing hoist training when it was destroyed in an accident. The Accident Flight This accident was during an initial instructor flight engineer check ride.  According to the USAF Accident Investigation Board (AIB) report: The training site was at 5382 feet AMSL, c 11ºC  and wind was c 12 kts gusting 20 kts.  The Evaluating Flight Engineer was controlling the up-limit switch on...

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FAA Rules Applied: So Misrigged Flying Controls Undetected

Posted by on 4:57 pm in Accidents & Incidents, Business Aviation, Fixed Wing, Human Factors / Performance, Maintenance / Continuing Airworthiness / CAMOs, Safety Management

FAA Rules Applied: So Misrigged Flying Controls Undetected (Maintenance Human Factors and Independent inspections) On 30 April 2018, Cessna 172M Skyhawk II, N9085H, crashed shortly after takeoff in Bermuda. The Accident Flight In their investigation report the UK Air Accidents Investigation Branch (AAIB) say: The flight was planned to consist of a number of circuits and landings to refamiliarise the pilot with the aircraft [after it] had undergone a prolonged maintenance input. As this was the aircraft’s first flight after maintenance, the...

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Wrong Engine Shutdown Crash: But You Won’t Guess Which!

Posted by on 7:45 pm in Accidents & Incidents, Fixed Wing, Human Factors / Performance, Safety Management

Wrong Engine Shutdown Crash: But You Won’t Guess Which! A British airliner, an engine problem and the crew inadvertently shutting down the wrong engine, crashing close to the airfield.  Kegworth in 1989 right?  Well sorry for the click-bait title but that is not this human factors case study, which predates that accident by almost exactly 20 years. BUA BAC One-Eleven G-ASJJ 14 January 1969: The Accident Flight On the evening of 14 January 1969, British United Airways (BUA) BAC One-Eleven, G-ASJJ was due to depart Milan Linate bound for...

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A Failure in Propeller Design and Certification Resulted in the Loss of an EMB-120 in 1991

Posted by on 9:59 pm in Accidents & Incidents, Design & Certification, Fixed Wing, Safety Management

A Failure in Propeller Design and Certification Resulted in the Loss of an EMB-120 in 1991 On 5 April 1991 Atlantic Southeast Airlines (ASA) Embraer EMB-120 Brasilia N270AS left Atlanta, Georgia at 13:47 Local Time for Brunswick, Georgia as Delta Connection Flight 2311. At 1448:13 the aircraft was cleared for a visual approach to Glynco Jetport in Brunswick, Georgia. The crew acknowledged the clearance and then made a routine call on the company frequency.  There was no indication of any problems. Witnesses reported that all appeared normal...

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Tree Top Autorotation for B206L1 After Loose Fuel Line B-Nut Leaks

Posted by on 6:40 pm in Accidents & Incidents, Helicopters, Human Factors / Performance, Maintenance / Continuing Airworthiness / CAMOs, Safety Management

Tree Top Autorotation for B206L1 After Loose Fuel Line B-Nut Leaks On 2 April 2018 the privately owned Bell 206L-1 D-HHNC lost engine power during its initial climb from Uetersen/Heist Airfield and consequently the pilot initiated an autorotation.  According to the German BFU safety investigation report, realising he would not be able to reach the airfield and would likely land in trees, he… …flared the helicopter, pulled the pitch fully and in the last moment yawed consciously by about 180°, because he did not want hitting the...

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