Accidents & Incidents

Investigations & Reports

The Loss of RAF F-35B ZM152: An Organisational Accident

Accidents & Incidents, Crises / Emergency Response / SAR, Design & Certification, Fixed Wing, Human Factors / Performance, Maintenance / Continuing Airworthiness / CAMOs, Military / Defence, Regulation, Safety Culture, Safety Management, Survivability / Ditching

An £81 mn fighter is downed by FOD, one of its own intake blanks.
This case study illustrates James Reason’s concept of Organisational Accidents and how just asking “who left the intake blank ?” misses the real reasons behind this accident.

The Loss of RAF F-35B ZM152: An Organisational Accident Read Post »

BK117 Offshore Medevac CFIT & Survivability Issues

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

An offshore medevac accident that highlights considering the changing risk of an individual flight, flight path management in degrading conditions and offshore survivability in a ‘regulatory void’.

BK117 Offshore Medevac CFIT & Survivability Issues Read Post »

EC135 Air Ambulance CFIT when Pilot Distracted Correcting Tech Log Errors

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

The single pilot was head down as the sun set correcting tech log entries. The helicopter struck trees on a mountain top then force landed in woodland.

EC135 Air Ambulance CFIT when Pilot Distracted Correcting Tech Log Errors Read Post »

Poor Contracting Practices and a Canadian Helicopter HESLO Accident

Accidents & Incidents, Helicopters, Human Factors / Performance, Mining / Resource Sector, Oil & Gas / IOGP / Energy, Regulation, Safety Culture, Safety Management, Special Mission Aircraft

An underslung load strikes a tail boom and when jettisoned damages a tail rotor. But this case study really highlights how poor contracting practices drive up risk and how to avoid that.

Poor Contracting Practices and a Canadian Helicopter HESLO Accident Read Post »

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