The lack of effective risk assessment and landing site data jumps out in this TSB report as does a casual approach to some pre-flight preparation. There are survivability lessons too.
Fatal Wire Strike on Take Off from Communications Site Read Post »
The crew of a private bizjet pressed on in poor visibility and may have made a VNAV selection error. ‘Tensions’ amongst the crew are reported, with the PIC wanting to terminate the co-pilot after the flight and ‘insufficient CRM’ cited.
Cockpit Tensions and an Automated CFIT Accident Read Post »
AIBN has opened an investigation into a serious incident that is a reminder of the possible seasonal weather related threats.
ATR72 Control Problems in Severe Icing, Norway, 14 November 2016 Read Post »
The FAA has issued a Safety Alert for Operators SAFO 16016. They discuss one accident were a take-off was attempted with one engine at idle.
Stabilised Hover Prevents Loss of Control Accidents Say FAA Read Post »
An occurrence were after take off, a ‘gut feeling’ resulted in challenging MEL assumptions that had been made during flight planning, resulting in a change to the mid-Pacific alternate.
Challenge Assumptions: ATSB on A330 with a u/s GPS Read Post »
The TSB say ‘competitive behaviour’ by fire-fighting pilots eroded the margin of safety during take-offs. We look at the cultural and SMS issues.
‘Competitive Behaviour’ and a Fire-Fighting Aircraft Stall Read Post »
The Swedish Accident Investigation Board reported on a near mid air collision between a Swedish Gripen and Norwegian F-16 during the tri-national 2015 Arctic Fighter Meet. The aircraft passed ~ 30m apart in cloud.
Military Airprox in Sweden Read Post »
While working on an RCAF A310 a maintainer is crushed by a spoiler, highlighting the hazards that must be managed when conducting simultaneous maintenance tasks.
Serious Injury During Aircraft Maintenance Read Post »
The UK AAIB has published their Annual Safety Review in a radical new format. It has analysis of investigations, an overview of recommendations and articles on the use of drones and the time needed for investigations.
AAIB Annual Safety Review for 2015 Read Post »
A readiness crisis in the CH-53E fleet triggered the dramatic firing of the Squadron CO and a fatal mid air collision that killed 12 marines days later.
USMC CH-53E Readiness Crisis and Mid Air Collision Catastrophe Read Post »
The NTSB release their probable cause on this uncontained HPT2 disc burst.
Uncontained CF6-80 Failure: American B767-300 28 Oct 2016 Read Post »
The US CSB has released its report into an explosion and fire at the Williams Olefins ethylene and propylene plant in Geismar, Louisiana which killed 2 employees and injured 167.
CSB: 12 Years of Deficiencies Prior to Fatal Plant Explosion Read Post »
We look at three aspects from the investigation into a fatal air accident in the UK: Recording of aircraft defects, TAWS and the carriage of non-crew members on the flight deck.
LOC-I Departure: AAIB Report on King Air 200 Accident Read Post »
Safety lessons from a disturbing unstabilised approach accident that begs serious questions of the operator’s procedures and culture.
Execuflight Hawker 700 N237WR Akron Accident: Casual Compliance Read Post »
Despite poor visibility the crew of an executive helicopter pressed on and collided with a 39 storey building in Seoul. We look at the safety lessons.
CFIT Gangnam Style – Korean S-76C++ and Decision Making Read Post »
This document has been collaboratively written by IATA, CANSO, IFATCA and IFALPA, to address the problems surrounding unstable approaches.
IATA Unstable Approaches, Risk Mitigation Policies, Procedures and Best Practices Read Post »
A China Eastern A330 crossed in front of a China Eastern A320 taking off. CAAC report the separation was just 19m vertical and 13m horizontal and have issued a reconstruction video.
High Potential Runway Incursion at Shanghai 11 Oct 2016 Read Post »
AAIB comment on deficient task cards, operator tech pubs, shift handovers and distraction leading to a maintenance error.
B747 Landing Gear Failure Due to Omission of Rig Pin During Maintenance Read Post »
EASA is consulting on making 2 available, but not widely adopted, modifications mandatory in response to inadvertent operations of a hydraulic test switch that can result in Loss of Control – Inflight.
EASA Consult on Proposed AD on AS350B3 / H125 Hydraulics Read Post »
Time pressures, a maintenance error rigging flying control cables and a potentially non-compliant design conspired to cause a fatal PA-46 accident in the US in 2015.
Misrigged Flying Controls: Fatal Maintenance Check Flight Accident Read Post »
Engine maintenance practices at a component MRO resulted in the failure of a PW4056 compressor blade, fire and IFSD on a Delta 747.
‘Aggressive’ Grit Blasting Maintenance Leads to Engine Fire & IFSD Read Post »
Various factors conspired to mean a piston engined aircraft was incorrectly fuelled with Jet A1, resulting in a power loss just after take off. We look at this threat and the safety lessons.
The Wrong Fuel: Three Misfuelling Accidents Read Post »
Following an NTSB recommendation the NBAA has used FDM/FOQA data to look at how often critical Take Off checks are being missed and its almost 1 time in 5.
Business Aviation Compliance With Pre Take-off Flight Control Checks Read Post »
UK CAA issue their second update following the Feb 2014 CAP1145 report (‘Safety review of offshore public transport helicopter operations in support of the exploitation of oil and gas’).
UK CAA CAP1145: 2nd Update on North Sea Helicopter Safety (CAP1386) Read Post »
AAIB discuss the identification of flight control malfunctions in their report on a Saab 2000 LOC-I in Scotland.
AAIB: Human Factors and the Identification of Saab 2000 Flight Control Malfunctions Read Post »
