News & Comment

‘Crazy’ KC-10 Boom Loss: Informal Maintenance Shift Handovers and Skipped Tasks

Posted by on 6:33 pm in Accidents & Incidents, Fixed Wing, Human Factors / Performance, Maintenance / Continuing Airworthiness / CAMOs, Military / Defence, Safety Management, Special Mission Aircraft

‘Crazy’ KC-10 Boom Loss: Informal Maintenance Shift Handovers and Skipped Tasks On 1 November 2016 US Air Force (USAF) Boeing KC-10A Extender tanker 83-0080 of the 60th Air Mobility Wing departed Travis Air Force Base (AFB), California for a training exercise. As the crew prepared for aerial refuelling (AR) the Boom Operator lowered the Aerial Refuelling Boom. The KC-10′s Boom Operator sits at the rear of the aircraft with a panoramic view and controls refuelling through a hand controller and a digital fly-by wire system....

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EC135P2+ Loss of NR Control During N2 Adjustment Flight

Posted by on 4:09 pm in Accidents & Incidents, Helicopters, Special Mission Aircraft

NPAS EC135P2+ G-POLA Loss of NR Control During N2 Adjustment Flight National Police Air Service (NPAS) Airbus Helicopters EC135P2+ G-POLA suffered a serious incident on 5 April 2018 over Northumberland, UK when an engine power turbine speed (N2) adjustment resulted in a loss of main rotor speed (NR) control. The UK Air Accidents Investigation Branch (AAIB) report that: In November 2017, after an engine change, a deferred defect log (DDL) entry restricted the helicopter to 4,500 ft density altitude (DA). To remove this restriction the...

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SAR Questions Feature in PNG AIC B427 Accident Investigation

Posted by on 4:26 pm in Accidents & Incidents, Crises / Emergency Response / SAR, Helicopters, Safety Management, Survivability / Ditching

Search and rescue (SAR) Questions Feature in PNG AIC B427 PS-HSG Accident Investigation The Papua New Guinea (PNG) Accident Investigation Commission (AIC) has issued a preliminary report into an accident involving Bell 427 P2-HSG operated by Ballina Limited t/a Niugini Helicopters on 11 August 2019. History of the Accident Flight The helicopter was conducting a Visual Flight Rules (VFR) ferry flight from Kokopo, East New Britain Province to Kimbe, West New Britain Province, when it impacted the water, over a reef 3.1 nm NW of Baluma...

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EC135P2 Spatial Disorientation Accident

Posted by on 8:39 pm in Accidents & Incidents, Helicopters, Safety Management, Special Mission Aircraft

EC135P2 N62UP Spatial Disorientation Accident On 25 May 2017 an Airbus Helicopters EC135P2, N62UP, was destroyed and the pilot, the sole person on board, was killed in a high energy impact near New Castle, Delaware. The helicopter was an air ambulance owned by the University of Pennsylvania and operated by Metro Aviation for the PennStar HEMS service. History of the Flight The flight, operated as a a Part 91 “personal flight”, originated from Atlantic City International Airport (ACY), New Jersey, 36 minutes earlier so...

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ATR72 Missed Damage: Maintenance Lessons

Posted by on 7:32 am in Accidents & Incidents, Fixed Wing, Human Factors / Performance, Maintenance / Continuing Airworthiness / CAMOs, Safety Culture, Safety Management

ATR72 VH-FVR Missed Damage: Maintenance Lessons In 2014 we first reported on the preliminary information from the Australian Transport Safety Bureau (ATSB) on a serious incident with a Virgin Australia Regional Airlines (VARA, formerly Perth, WA based SkyWest) ATR 72 VH-FVR on 20 February 2014. We followed up on this with a more detailed report on the day the ATSB issued a first Interim Report in June 2016 which we updated further after the second Interim Report in May 2017 in and the Final Report in May 2019 (a report issued 63 months after...

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Glider Controls Fail After Non Compliant Maintenance Embodying an AD

Posted by on 7:54 am in Accidents & Incidents, Fixed Wing, Human Factors / Performance, Maintenance / Continuing Airworthiness / CAMOs, Safety Management

Glider Controls Fail After Non Compliant Maintenance Embodying an AD A single seat Rolladen-Schneider LS 4-b glider, registration PH-974, was making a local flight from Larserveld on 23 April 2018.  According to the Dutch Safety Board (DSB) in their investigation report: During the winch launch…the air brakes opened unexpectedly. The air brake control rod had slipped out of the locked position which was corrected by the pilot. After approximately one hour in the air and flying through mild turbulence, the problem of unlocking air brakes...

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Mi-26T Arctic VRS Accident 28 November 2018

Posted by on 7:43 pm in Accidents & Incidents, Helicopters, Human Factors / Performance, Oil & Gas / IOGP / Energy, Safety Management

Mi-26T Arctic VRS Accident 28 November 2018 UTair Mi-26T helicopter RA-06029 crashed on 28 November 2018 with the loss of one life, the aircraft commander. Five other crew members survived, one with head and spinal injuries.  The helicopter was returning from delivering 17 t of “building materials” to Naulskaya in the Nenets Autonomous Area.  the 56 t Mi-26T can carry a maximum payload of 20 t.  It is powered by two 11,400 shp D-136 turboshafts and has a 32 m (105 ft) main rotor diameter. Safety Investigation The IAC/MAK safety...

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Fatal Snowy Powerline Inspection Flight

Posted by on 4:47 pm in Accidents & Incidents, Helicopters, Oil & Gas / IOGP / Energy, Safety Management, Special Mission Aircraft

Fatal Snowy Power Line Inspection Flight (H369HM, N4QX) A Hughes (later MD) 369HM N4QX, operated by Vista One Inc, impacted terrain near Perrysburg, Ohio on 15 January 2018, 72 minutes into a power line aerial observation flight. Both occupants, pilot and observer, were fatally injured. Police photographs at the accident scene further showed falling snow and flat light / white out conditions. https://youtu.be/n1IDT1rOBQE The Operational Tasking Vista One holds a Part 133 Rotorcraft External Load certificate and conducts power line inspections...

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B747-400F Tyre Explosion During Inflation

Posted by on 6:26 pm in Accidents & Incidents, Fixed Wing, Human Factors / Performance, Maintenance / Continuing Airworthiness / CAMOs, Safety Management

B747-400F Tire Explosion During Inflation The Singapore Transport Safety Investigation Bureau (TSIB) have reported on a tyre explosion on China Airlines Boeing 747-400F freighter B-18719 on 18 October 2018 during a turnaround at Singapore Changi. The aircraft had landed at 0443LT and was scheduled to depart two hours later. During a walk-around inspection, the tyre pressure of the No.11 tyre was found to be low. While the tyre was being inflated with nitrogen, the tyre burst.  A tyre pressure gauge that a Technician had placed on the top of...

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King Air 100 Stalls on Take Off After Exposed to 14 Minutes of Snowfall: No De-Icing Applied

Posted by on 5:27 pm in Accidents & Incidents, Business Aviation, Fixed Wing, Human Factors / Performance, Regulation, Safety Management, Survivability / Ditching

King Air 100 Stalls on Take Off After Exposed to 14 Minutes of Snowfall: No De-Icing Applied (C-GIAE) On 23 February 2018, an Island Express Air, Beechcraft King Air B100, C-GIAE, departed Abbotsford, British Columbia on a day Instrument Flight Rules (IFR) flight to San Bernardino, California with a single pilot (the owner of the operator) and 9 passengers. According to the Transportation Safety Board of Canada (TSB) safety investigation report (issued 14 August 2019) snow had been falling during the flight planning and the aircraft had been...

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