Accidents & Incidents

Investigations & Reports

Fatal Offshore S-76C++ LOC-I & Water Impact Brazil 2022: CENIPA Investigation

Accidents & Incidents, Crises / Emergency Response / SAR, Helicopters, Offshore, Oil & Gas / IOGP / Energy, Regulation, Safety Culture, Safety Management, Survivability / Ditching

The Aircraft Commander / Instructor died after a water impact during the first flight of a command course following a loss of control on approach to a NUI.

Fatal Offshore S-76C++ LOC-I & Water Impact Brazil 2022: CENIPA Investigation Read Post »

Deadly Delay: Catastrophic USAF CV-22B Osprey Gear Box Failure

Accidents & Incidents, Design & Certification, Fixed Wing, Helicopters, Human Factors / Performance, HUMS / VHM / UMS / IVHM, Maintenance / Continuing Airworthiness / CAMOs, Military / Defence, Safety Culture, Safety Management, Special Mission Aircraft

We review the USAF AIB report, looking at the catastrophic gear box failure and decision making seemingly influence by low risk awareness and commitment to completing the flight.

Deadly Delay: Catastrophic USAF CV-22B Osprey Gear Box Failure Read Post »

Night Offshore Helicopter Approach Water Impact

Accidents & Incidents, Crises / Emergency Response / SAR, Design & Certification, Helicopters, Human Factors / Performance, Offshore, Oil & Gas / IOGP / Energy, Regulation, Safety Culture, Safety Management, Special Mission Aircraft, Survivability / Ditching

A night visual approach resulted in illusions that resulted in a water impact. Everyone on board was rescued but not before highlighting many survivability & SAR enhancements, as well as triggering improved helideck lighting and TAWS improvements.

Night Offshore Helicopter Approach Water Impact Read Post »

Undetected Cross Connection Maintenance Error Resulted in a DA42 Hard Landing During a Maintenance Check Flight

Accidents & Incidents, Business Aviation, Design & Certification, Fixed Wing, Human Factors / Performance, Maintenance / Continuing Airworthiness / CAMOs, Safety Management

Wear is found during a check that results in a rare flying control maintenance task, poorly described in the AMM. Its unrecorded and delegated to an apprentice with insufficient supervision. We examine the maintenance human factors involved.

Undetected Cross Connection Maintenance Error Resulted in a DA42 Hard Landing During a Maintenance Check Flight Read Post »

Multi-Tasking Managers & Deficient Operational Control: Low Viz AS350B3 Take-Off Accident

Accidents & Incidents, Helicopters, Human Factors / Performance, Maintenance / Continuing Airworthiness / CAMOs, Regulation, Safety Culture, Safety Management, Survivability / Ditching

Two people died after a loss of visual references shortly after take-off in the transition from vertical to horizontal flight. NSIA point to organisational and systemic factors.

Multi-Tasking Managers & Deficient Operational Control: Low Viz AS350B3 Take-Off Accident Read Post »

In-Flight Break-up of King Air C90 After Wing Spar Repaired Against Manufacturer’s Advice

Accidents & Incidents, Design & Certification, Fixed Wing, Human Factors / Performance, Maintenance / Continuing Airworthiness / CAMOs, Regulation, Safety Management, Special Mission Aircraft

The wing spar failed from fatigue cracking elsewhere in the wing that was missed during the same inspection.

In-Flight Break-up of King Air C90 After Wing Spar Repaired Against Manufacturer’s Advice Read Post »

South Korean Night Black Hole Spatial Disorientation Fatal Helicopter Accident

Accidents & Incidents, Airfields / Heliports / Helidecks, Crises / Emergency Response / SAR, Helicopters, Human Factors / Performance, Safety Management, Special Mission Aircraft

We translate a South Korean report into an emergency service helicopter accident investigation. Spatial disorientation, use of automation and heliport management issues.

South Korean Night Black Hole Spatial Disorientation Fatal Helicopter Accident Read Post »

Helicopter Water Impact Accident: Safety of Airborne Geophysical Survey Operations

Accidents & Incidents, Crises / Emergency Response / SAR, Helicopters, Human Factors / Performance, Mining / Resource Sector, Safety Culture, Safety Management, Special Mission Aircraft, Survivability / Ditching

An aerial survey accident highlights problems implementing flight following technology, the dangerous use of marine lifejackets and the value of considering competence.

Helicopter Water Impact Accident: Safety of Airborne Geophysical Survey Operations Read Post »

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