News & Comment

HF Lessons from an AS365N3+ Gear Up Landing

Posted by on 3:21 pm in Accidents & Incidents, Helicopters, Human Factors / Performance, Military / Defence, Safety Management

Human Factors (HF) Lessons from an AS365N3+ Gear Up Landing A French Navy Airbus Helicopters AS365N3+ Dauphin helicopter F-XGAL / 6928 suffered a wheels up landing in the South Pacific on 30 May 2017. The aircraft departed from Tahiti Faa’a airport for the near-by island of Moorea in French Polynesia according to the BEA-Etat safety investigation report (available in French only).  The purpose of the flight was to gain experience of the One Engine Inoperative (OEI) Training Mode that is unique in the French Navy AS365 fleet to the N3+s in the...

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Distracted B1900C Wheels Up Landing in the Bahamas

Posted by on 8:20 am in Accidents & Incidents, FDM / Data Recorders, Fixed Wing, Human Factors / Performance, Maintenance / Continuing Airworthiness / CAMOs, Safety Management

Distracted B1900C Wheels Up Landing in the Bahamas After a wheels up landing the flight crew claimed they had lowered the gear.  The evidence disagreed say investigators. History of the Flight On 30 September 2016 a US registered Beechcraft 1900C , N376SA, operated by Southern Air Charter, a Bahamas Air Operator Certificate holder, was involved in an occurrence at Deadman’s Cay Airport, Long Island, Bahamas.   The aircraft was on a scheduled domestic commercial air transport flight when it landed on runway 09 with the landing gear retracted....

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Load Lost Due to Misrigged Under Slung Load Control Cable

Posted by on 2:08 pm in Accidents & Incidents, Helicopters, Human Factors / Performance, Maintenance / Continuing Airworthiness / CAMOs, Safety Management, Special Mission Aircraft

Load Lost Due to Misrigged Under Slung Load Control Cable On 27 April 2018, a Japanese Airbus Helicopters AS350B1, JA9743 of Nakanihon Air Service, lost an under slung crop spraying system while in flight at Toubetsu, Teshikaga Town, Kawakami-gun, Hokkaido.  According to the Japan Transport Safety Board (JTSB) final report, released 31 May 2018, the Captain sat in the left seat and a pilot under training was in the right seat and pilot flying. At around 11:58, as returning to the loading site in order to load the fertilizer to the empty...

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B1900D Emergency Landing: Maintenance Standards & Practices

Posted by on 2:14 pm in Accidents & Incidents, Fixed Wing, Human Factors / Performance, Maintenance / Continuing Airworthiness / CAMOs, Regulation, Safety Culture, Safety Management

B1900D Emergency Landing: Maintenance Standards & Practices On 12 July 2016 an Air Georgian Beechcraft 1900D, C-GORF, made an emergency landing after its Nose Landing Gear (NLG) could not be lowered at the end of an Air Canada Express flight in Alberta from Lethbridge to Calgary.  The resulting Transport Safety Board of Canada (TSB) safety investigation report (released on 29 May 2018) posses many questions on the management and oversight of aircraft maintenance and maintenance standards & practices. Air Georgian was formed in 1984...

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Helicopter Ops and Safety – Gulf Of Mexico 2017 Update

Posted by on 4:19 pm in Accidents & Incidents, Airfields / Heliports / Helidecks, Helicopters, Offshore, Oil & Gas / IOGP / Energy, Safety Management, Survivability / Ditching

Helicopter Ops and Safety – Gulf of Mexico 2017 Update The Helicopter Safety Advisory Conference (HSAC) has been publishing data on the Gulf of Mexico (‘GOM’) offshore helicopter fleet and its safety since 1995.  We have looked at their 2014. 2015 and 2016 reports previously.  Now we examine their 2017 data. Helicopter Operations: GOM Fleet Data HSAC report that flying activity continues to decline, with just under 189k flying hours in 2016, although the rate of decline is has decreased (4% down on the 196k in 2016 and vs...

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Singapore Airlines B777 41t Fuel Discrepancy Incident

Posted by on 9:58 am in Accidents & Incidents, Design & Certification, Fixed Wing, Safety Management

Singapore Airlines  B777 41t Fuel Discrepancy Incident The Singapore Transport Safety Investigation Bureau (TSIB) has released their safety investigation report into an incident that occurred on 16 April 2014 to Singapore Airlines Boeing B777-200ER 9V-SVC flying from Singapore to Johannesburg. The Refuelling Before departure the flight crew had requested the aircraft be fuelled to 86 tonnes.  The Refuelling Dispenser Operator (RDO) proceeded to fuel the aircraft until the Lead Technician (LT) from the airline’s contracted maintenance...

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How ‘Sticky’ is Your Safety Software?

Posted by on 7:11 am in Human Factors / Performance, Safety Management

How ‘Sticky’ is Your Safety Software?   Organisations are increasingly investing in software to support their Safety Management Systems. This might be in individual applications for managing safety reports, audits, risk assessments etc or integrated products. The use of software to manage large quantities of data is obvious. As was said about one system, developed by British Airways in the early 1990s: The strength of BASIS lies not in the storing of information, but in using it to ask questions about the operation and to...

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Italian HEMS AW139 Inadvertent IMC Accident

Posted by on 6:21 pm in Accidents & Incidents, Helicopters, Human Factors / Performance, Regulation, Safety Management, Special Mission Aircraft

Italian HEMS AW139 Inadvertent IMC Accident A leased Leonardo Helicopters AW139, EC-KJT, was operated by INAER Aviation Italia (a Babcock company) from L’Aquila in the Abruzzo region of Central Italy to provide a daytime Helicopter Emergency Medical Service (HEMS) service.  It crashed into a mountain during a HEMS mission on 24 January 2017.  The Agenzia Nazionale per la Sicurezza del Volo (ANSV) released their accident investigation report (in Italian only) in May 2018. The Accident Flight Operations Room 118 in L’Aquila made a...

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Helicopter Wildlife Netting Accidents

Posted by on 9:20 am in Accidents & Incidents, Helicopters, Safety Management, Special Mission Aircraft

Helicopter Wildlife Netting Accidents In May 2018 the US National Transportation Safety Board (NTSB) published two reports into accidents involving helicopters attempting to carry out wildlife net captures. Tail Rotor Strike  On 12 February 2018, Hughes (later MD) 369D N338HW of Helicopter Wildlife Services was manoeuvring at a low altitude in an attempt to net an elk near Heber City, Utah.  According to the NTSB report: When the helicopter was approximately above the elk, his attention was immediately focused forward due to a small rise in...

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US Fatal Night HEMS Accident: Self-Induced Pressure & Inadequate Oversight

Posted by on 3:18 pm in Accidents & Incidents, Helicopters, Human Factors / Performance, Safety Management, Special Mission Aircraft

US Fatal Night HEMS Accident: Self-Induced Pressure & Inadequate Oversight The US National Transportation Safety Board (NTSB) has determined (24 May 2018) the probable cause of a 2016 fatal helicopter emergency medical service (HEMS) accident to be: The pilot’s decision to perform visual flight rules flight into night instrument meteorological conditions, which resulted in loss of control due to spatial disorientation. Contributing to the accident was the pilot’s self-induced pressure to complete the mission despite the...

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