Fatigued Flight Test Crew Crosswind Accident The Icelandic Transportation Safety Board (ITSB), the RNSA, recently issued their report into a wheels up runway excursion accident that occurred on 21 July 2013 to Sukhoi RRJ-95B ‘Superjet 100’ 97005 during flight tests by Sukhoi at Keflavik airport. The Flight Test Objective and the Accident Flight The purpose of […]
Fatigued Flight Test Crew Superjet 100 Crosswind Accident Read Post »
We look at some of the problems of error management and ask if we are still making the error management mistakes James Reason warned of in 1997 (spoiler: some organisations are). We also look at drift and how some have failed to grasp its more than poor compliance.
Back to the Future: Error Management Read Post »
Regulation (EU) 376/2014: Reporting, Analysis and Follow-up of Occurrences in Civil Aviation On 15 November 2015, a new European Union wide aviation reporting regulation came into force. The European Commission has created a safety reporting portal. Previously Mandatory Occurrence Reporting (MOR) was effectively regulated by a Directive 2003/42/EC to each nation to create compatible national regulation. That directive is
UK CAA to Review IFR Ops Outside of Controlled Airspace The UK Civil Aviation Authority (CAA) has announced it plans an enhanced review of Instrument Flight Rules (IFR) flying outside of controlled airspace. This is in response to a UK Air Accidents Investigation Branch (AAIB) recommendation in their final report on a serious incident involving a chartered executive Sikorsky S-76C++ G-WIWI in
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A320 Unstabilised Approaches: A Descent Below Minimum Safe Altitude (MSA) and a Runway Excursion at Lyon An airline introducing a new type suffers a serious incident while training a new captain, highlighting the importance of Management of Change, Risk Assessment and good Training. UPDATE: Then within a year they have a runway excursion after an unstabilised approach at
A320 Unstabilised Approaches: Descent Below MSA and a Runway Excursion at Lyon Read Post »
SNAPpy Action in Norway – The Southern Norway Airspace Project Norwegian Air Navigation Service Provider (ANSP) AVINOR has established the Southern Norway Airspace Project (SNAP), that went live in late 2014. SNAP was established: … to address present and future challenges regarding capacity, safety, environment and effectiveness. SNAP will provide a new airspace organisation, with associated working
SNAPpy Action in Norway – The Southern Norway Airspace Project Read Post »
James Reason’s 12 Principles of Error Management James Reason, Professor Emeritus, University of Manchester, set out 12 systemic human factors centric principles of error management in his book Managing Maintenance Error: A Practical Guide (co-written with Alan Hobbs and published in 2003). These principles are valid beyond aviation maintenance and are well worth re-visiting: Human error is both universal
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Fatal Helicopter / Crane Collision – London Jan 2013 While manoeuvring over the River Thames, an AgustaWestland A109E helicopter, G-CRST, operated by charter company Rotormotion, collided at 700ft amsl with a crane in Vauxhall, Central London. The crane was atop the 50 storey St George Wharf Tower. The helicopter pilot and a passer-by died. The UK Air Accident Investigation Branch (AAIB)
Fatal Helicopter / Crane Collision – London Jan 2013 Read Post »
Military Mid Air Collisions One recent accident in Germany and the release of a Service Inquiry into a UK Mid Air Collision (MAC) highlight the importance of managing MAC risk. The UK Military Aviation Authority (MAA) consider MAC to be one of the highest risk hazards in military aviation (as discussed in para 5a of their
Military Mid Air Collisions Read Post »
Safety Management International Collaboration Group Industry Day The Safety Management International Collaboration Group (SM ICG) held its fourth Industry Day with representatives from 27 European aviation industry organizations on 16 May 2014 in Bern, Switzerland. The SMICG is a group of 14 aviation regulatory bodies, formed in 2009 to promote a common understanding of safety
Safety Management International Collaboration Group Industry Day Read Post »
