News & Comment

SAR AW101 Roll-Over: Entry Into Service Involved “Persistently Elevated and Confusing Operational Risk”

Accidents & Incidents, Helicopters, Human Factors / Performance, Military / Defence, Regulation, Safety Culture, Safety Management, Special Mission Aircraft

Accident investigators say a SAR AW101 rolled over “during a period of persistently elevated and confusing operational risk” as the aircraft type was being introduced to military service in Norway.

SAR AW101 Roll-Over: Entry Into Service Involved “Persistently Elevated and Confusing Operational Risk” Read Post »

Military SAR H225M Caracal Double Hoist Fatality Accident

Accidents & Incidents, Crises / Emergency Response / SAR, Design & Certification, Helicopters, Human Factors / Performance, Maintenance / Continuing Airworthiness / CAMOs, Military / Defence, Safety Management, Special Mission Aircraft

BEA-E identify a range of possible factors for the jamming of a hoist and severing of the hoist cable during a military training exercise.

Military SAR H225M Caracal Double Hoist Fatality Accident Read Post »

Loss of Control, Twice, by Offshore Helicopter off Nova Scotia

Accidents & Incidents, FDM / Data Recorders, Helicopters, Human Factors / Performance, Offshore, Oil & Gas / IOGP / Energy, Safety Culture, Safety Management

During the second go-around the crew started an impromptu visual approach when the ExxonMobil installation suddenly came into view. A high ROD at low airspeed developed in low-visibility. The helicopter avoided the sea by just 13 ft. A second loss of control occurred during the ascent.

Loss of Control, Twice, by Offshore Helicopter off Nova Scotia Read Post »

The Curious Case of the Missing Shear Pin that Didn’t Shear: A Fatal Powerline Stringing Accident

Accidents & Incidents, Design & Certification, Helicopters, Human Factors / Performance, Maintenance / Continuing Airworthiness / CAMOs, Oil & Gas / IOGP / Energy, Safety Management, Special Mission Aircraft

A key component was never recovered, investigators seem to have misunderstood their own laboratory’s report on another and the NTSB conclusions omit to identify the evident failure of a shear pin to correctly perform its safety function as a factor.

The Curious Case of the Missing Shear Pin that Didn’t Shear: A Fatal Powerline Stringing Accident Read Post »

Fatal 2019 DC-3 Turbo Prop Accident, Positioning for FAA Flight Test: Power Loss Plus Failure to Feather

Accidents & Incidents, Fixed Wing, Human Factors / Performance, Safety Management

NTSB suggest an air lock in the fuel system plus an auto-feather system failure which may have occurred if the power lever was manually retarded during the auto-feather sequence. The DC-3 was below the airspeed required to maintain lateral control after an engine failure with an unfeathered propeller.

Fatal 2019 DC-3 Turbo Prop Accident, Positioning for FAA Flight Test: Power Loss Plus Failure to Feather Read Post »

ATR 72 Rudder Travel Limitation Unit Incident: Latent Potential for Misassembly Meets Commercial Pressure

Accidents & Incidents, Fixed Wing, Human Factors / Performance, Maintenance / Continuing Airworthiness / CAMOs, Safety Culture, Safety Management

An ATR72 suffered an uncommanded yaw and roll as it accelerated through 185 knots. The cause was traced to misassembly during a prior maintenance check. A cam in the rudder Travel Limitation Unit could be reversed, and pressures during the check triggered that misassembly.

ATR 72 Rudder Travel Limitation Unit Incident: Latent Potential for Misassembly Meets Commercial Pressure Read Post »

BEA Point to Inadequate Maintenance Data and Possible Non-Conforming Fasteners in ATR 42 Door Loss

Accidents & Incidents, Design & Certification, Fixed Wing, Maintenance / Continuing Airworthiness / CAMOs, Safety Management

At top of descent a 15 kg MLG door separated causing damage. Maintenance data “complex and contained error” and allowed “allowed nuts to be reused without checking their self-locking capability”.

BEA Point to Inadequate Maintenance Data and Possible Non-Conforming Fasteners in ATR 42 Door Loss Read Post »

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