News & Comment

Unstable Approach Dash 8 Touches Down 450ft Before Threshold

Posted by on 1:56 am in Accidents & Incidents, Fixed Wing, Human Factors / Performance, Safety Culture, Safety Management

Unstable Approach Dash 8 Touches Down 450ft Before Threshold The continuation of an unstable approach following a loss of visual reference led to a Jazz Aviation (dba Air Canada Express) Bombardier DHC-8-102,  C-GTAI, contacting the ground short of the runway at the Sault Ste. Marie Airport, Ontario, on 24 February 2015. There were no injuries, but there was significant damage to the aircraft. The Transportation Safety Board of Canada (TSB) report explains that: While on approach to Runway 30, in conditions of twilight and reduced visibility...

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Deadly Delay: GOM B206B3 Helicopter Night Accident 6 Feb 2017

Posted by on 4:42 pm in Accidents & Incidents, Helicopters, Offshore, Oil & Gas / IOGP / Energy, Safety Management

Deadly Delay: GOM B206B3 Helicopter Night Accident 6 Feb 2017 The US National Transportation Safety Board (NTSB) has released information on a fatal accident involving Bell 206B N978RH of Republic Helicopters off the coast of Galveston Island, TX on 6 February 2017: The flight originated from the oil tanker Eagle Vancouver, anchored in Galveston Bay…and was en route to Republic Helicopters heliport (2TE1), in Santa Fe [TX]. This was the helicopter’s third flight of the day. It departed 2TE1 at 1404 and flew to the oil tanker Eagle...

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Smoke in Cabin: Anatomy of a Wash Rig Error

Posted by on 12:05 am in Accidents & Incidents, Fixed Wing, Human Factors / Performance, Maintenance / Continuing Airworthiness / CAMOs, Safety Management

Smoke in Cabin: Anatomy of a Wash Rig Error The Irish Air Accident Investigation Unit (AAIU) has recently reported on a smoke in cabin event on Aer Lingus Airbus A320-214 EI-DVJ at Dublin on 3 October 2015.  This was due to actions taken during an engine wash the previous evening.  We focus on the maintenance human factors lessons. The Incident Flight The AAIU explain: Immediately after take-off from Dublin (EIDW), on an early morning scheduled passenger flight to Munich, Germany (EDDM), the Flight Crew detected an unusual odour in the...

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ATR72 Cognitive Bias Leads to Control Problems

Posted by on 12:46 pm in Accidents & Incidents, Fixed Wing, Human Factors / Performance, Safety Management

ATR72 Cognitive Bias Leads to Control Problems On 4 March 2016, ATR-72-212A (ATR72-500), G-COBO, operated Aurigny Air Services, the flag carrier of the Crown Dependency of Guernsey, suffered autopilot drop outs and unusually high forward pitch control forces on departure from Manchester Airport.  The aircraft diverted safely to East Midlands Airport.  The UK Air Accidents Investigation Branch (AAIB) became aware of the occurrence and recently issued an investigation report that discusses cognitive bias and the crew’s low exposure to...

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Consultants & Culture: The Good, the Bad and the Ugly

Posted by on 9:22 am in Safety Culture, Safety Management

Consultants & Culture: The Good, the Bad and the Ugly At Aerossurance we do believe culture and leadership are critical to safety.  Organisations are however often tempted by offers of ‘diagnoses’ from consultants promising to diagnose their culture or leadership and by implication, prescribe a ‘cure’.  There is something soothing in the idea that your organisation’s problems can be cured as easily as visiting a doctor.  However, General Practitioners often match symptoms to off-the-shelf remedies in...

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Flying Control FOD: Screwdriver Found in C208 Controls

Posted by on 9:20 pm in Accidents & Incidents, Fixed Wing, Human Factors / Performance, Maintenance / Continuing Airworthiness / CAMOs, Safety Management

Flying Control FOD: Screwdriver Found in C208 Controls An Australian Cessna 208B Caravan pilot detected a control restriction during a flight control rigging check according to a Service Difficult Report (SDR) submitted to the Civil Aviation Safety Authority (CASA).  The report described how the pilot: …checked full and free movement of all flight controls. Very slight friction or binding of the elevator control was identified. The issue was discussed with the LAME [Licenced Aircraft Maintenance Engineer] who investigated further and...

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Fatal H500 Low Altitude Hover Power Loss: Power Line Maintenance Project

Posted by on 2:31 pm in Accidents & Incidents, Helicopters, Maintenance / Continuing Airworthiness / CAMOs, Safety Management, Special Mission Aircraft, Survivability / Ditching

Fatal H500 Low Altitude Hover Power Loss: Power Line Maintenance Project The Transportation Safety Board of Canada (TSB) has released their investigation report into a fatal power loss while hovering alongside a power line near Paynton, Saskatchewan on 22 October 2015. The Accident SaskPower had contracted Forbes Bros…to construct and erect hydro towers and to string power lines. Oceanview Helicopters was contracted by Forbes Bros to carry out aerial work and install marker balls on power lines strung over the North Saskatchewan River....

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Unexpected Load: AS350B3 USL / External Cargo Accident in Norway

Posted by on 3:22 pm in Accidents & Incidents, Helicopters, Human Factors / Performance, Logistics, Mining / Resource Sector, Safety Management

Unexpected Load: AS350B3 Under Slung Load (USL) / External Cargo Accident in Norway The  - the Statens Havarikommisjon for Transport [SHT] in Norwegian) has issued its final report on a helicopter accident that occurred near Toms, in Norway on 20 July 2016.  It involved Airbus Helicopters AS350B3 LN-OSN of HeliScan that was supporting powerline construction by Consorzio Italia 2000 for power utility Statnett with Helicopter Sling Load Operations (HESLO).  The AIBN report that: During a landing to load off [three] personnel, an external load...

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Airworthiness Matters: Next Generation Maintenance Human Factors

Posted by on 9:36 pm in Fixed Wing, Helicopters, Human Factors / Performance, Maintenance / Continuing Airworthiness / CAMOs, Regulation, Safety Culture, Safety Management

Airworthiness Matters: Next Generation Maintenance Human Factors Aerossurance’s Andy Evans wrote an article in the current issue of the International Federation of Airworthiness (IFA) Airworthiness Matters magazine on: Next Generation Maintenance Human Factors (available here: IFA Airworthiness Matters 2016). The article starts by discussing a Royal Aeronautical Society (RAeS) conference: Maintenance Human Factors: The Next Generation.  At that event Professor Dave King highlighted we needed to think”about a next generation...

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Drone Goes Walkabout: Hemispherical Human Factors Hiccup

Posted by on 7:43 pm in Accidents & Incidents, Helicopters, Human Factors / Performance, Safety Management, Special Mission Aircraft, Survivability / Ditching

Drone Goes Walkabout: Hemispherical Human Factors Hiccup On 27 September 2016, a 55lb / 25kg Pulse Aerospace Vapor 55 Remotely Piloted Air System (RPAS) / Unmanned Air System (UAS) or ‘drone’ helicopter, suffered a Loss of Control (LOC) was operating a trial flight at Lighthouse Beach, Ballina, NSW. The RPAS helicopter had been operating in manual mode for about 7 minutes when the data link was lost.  According to the Australian Transport Safety Bureau (ATSB) investigation report: Thirty seconds later, the RPA entered the ‘home’...

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