Cessna 550 (Citation Bravo) would not rotate during take-off and suffered a runway excursion. Classic cockpit human factors design lessons from ATSB.
Aborted Take Off with Brakes Partially On Results in Runway Excursion Read Post »
Pilatus PC-24 Drops into EBACE As the first prototype, P01, drops into the European Business Aviation Conference and Exhibition (EBACE) in Geneva for a day, AW&ST report that: PC-24 Prototypes Are Keeping Busy: The first aircraft, P01, is appearing at the show before flying to Spain for high-speed testing, while P02 has flown to the U.S. There
Pilatus PC-24 Drops into EBACE Read Post »
Heli-Expo 2016 Photo Report News from HAI Heli-Expo 2016 in Louisville, Kentucky (1-3 March 2016): Airbus Helicopters H215 Airbus Helicopters had on show the newly designated H215, formerly the AS332C1e (i.e. an enhanced, short fuselage Super Puma) and AS332L1e (the long fuselage version), to be built in Romania and aimed at aerial work, disaster relief and other
Heli-Expo 2016 Photo Report Read Post »
Misrouted Engine Fuel Control Cable Hawker 800XP In Issue 4/2015 of TP 6980 – Canadian Aviation Service Difficulty Reports – Feedback an maintenance error involving a Hawker 800XP fuel control cable is reported: During a planned major structural inspection, the technician noticed that the no.1 engine high-pressure fuel lever cable was trapped under the cover of the electrical junction
Misrouted Engine Fuel Control Cable Hawker 800XP Read Post »
Falcon 7X LOC-I Due To Solder Defect On 25 May 2011, Dassault Falcon 7X business jet, HB-JFN, operated by Jet-Link, suffered a pitch trim runaway that caused a 40° pitch up, rapid climb and temporary Loss of Control Inflight (LOC-I) over Malaysia. First flown in 2005 and certified in April 2007, after a 590 flight, 1600 flying hour test programme,
Falcon 7X LOC-I Due To Solder Defect Read Post »
We look at the lessons on aerodrome lighting and charts from a UK bizjet take off accident. Mistaking edge lights for the centreline is not uncommon.
G-III Attempted Takeoff Using Runway Edge Lights as Centerline Read Post »
Aerossurance: Our Top 20 Articles of 2015 As we start the new year we look back on the 20 articles that proved most popular with our readers in 2015. In reverse order: Number 20: Building St Helena Airport – An Industrial Scale ‘Grand Design’ This started with the building of the first airport on the volcanic
Our Top 20 Articles of 2015 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 »
Another US business jet accident highlights poor checklist use and SMS ‘shelfware’ according to the BEA report into the 2012 accident.
Fatal G-IV Runway Excursion Accident in France – Lessons Read Post »
Fatal Night-time UK AW139 Accident Highlights Business Aviation Safety Lessons The UK Air Accidents Investigation Branch (AAIB) has published their report into the fatal accident to AgustaWestland AW139 G-LBAL on 13 March 2014. This accident reinforces many important past lessons on business aviation safety, managing clients, training, human factors and learning from previous accidents. The helicopter, owned by Haughey Air, departed from a
Fatal Night-time UK AW139 Accident Highlights Business Aviation Safety Lessons Read Post »
Misfuelling Accidents Misfuelling aircraft with kerosene based Jet A-1 rather than Aviation Gasoline (AVGAS) continues to be a source of accidents. PA31 15 Sept 2015 Manitoba The Canadian Transportation Safety Board (TSB) has recently released an update on the 15 September 2015 accident involving twin engined Keystone Air Service Piper PA31-350 Navajo C-FXLO at Thompson, Manitoba. Shortly after takeoff the aircraft experienced a
Misfuelling Accidents Read Post »
Fatal G-IV runway excursion: take off with gust lock engaged. Contributing: habitual noncompliance and inadequate certification.
Gulfstream G-IV Take Off Accident & Human Factors Read Post »
Cessna Citation Excel Controls Freeze On final approach to Traverse City, MI on 26 March 2014 the Pilot Flying of a Cessna Citation Excel N580QS discovered that the aircraft rudder pedals were ‘hard or frozen’. The results of the subsequent investigation published by the National Transportation Safety Board (NTSB) revealed an unusual dormant failure. History of the Flight
Cessna Citation Excel Controls Freeze Read Post »
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
UK CAA to Review IFR Ops Outside of Controlled Airspace Read Post »
Xsight’s innovative airport FODetect system captured a nose landing gear collapse on a Beechcraft Queen Air at Tel Aviv Ben Gurion Airport on 27 July 2013.
Nose Gear Collapse Filmed By FOD Detection System (Beechcraft Queen Air 4X-DZY) Read Post »
Wait to Weight & Balance – Lessons from a PC-12 Loss of Control On take off, pitch control of a Pilatus PC-12 was lost resulting in a series of pitch oscillations and stall warnings. Fortuitously the pilot was able to abort the take off with only damage to one main wheel. The incident could have been
Wait to Weight & Balance – Lessons from a Loss of Control Read Post »
The Power of Safety Leadership: Paul O’Neill, Safety and Alcoa In his book The Power of Habit: Why We Do What We Do, and How to Change, Charles Duhigg, described the reaction to Paul O’Neill’s first presentation as the new CEO of the Aluminum Company of America (Alcoa) in 1987: A few minutes before noon, the new
The Power of Safety Leadership: Paul O’Neill, Safety and Alcoa Read Post »
An overweight helicopter, flown with a known defect, ditched during a poorly executed approach to a GOM drilling rig, then water taxying was attempted…
NTSB Report on Bizarre 2012 US S-76B Ditching Read Post »
The International Civil Aviation Organisation (ICAO) has issued the following press release: In 1944, delegates from 54 nations gathered in the Grand Ballroom of the Stevens Hotel in Chicago at the invitation of the United States of America. At this event, the participants concluded and signed the Convention on International Civil Aviation, also known
70 Years of the Chicago Convention on International Civil Aviation 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
James Reason’s 12 Principles of Error Management Read Post »
Global 6000 Crosswind Landing Accident – UK AAIB Report (TAG Aviation, EC-LTF) The UK Air Accidents Investigation Branch (AAIB) have recently issued a 15 page report on a accident involving Bombardier Global 6000 EC-LTF of TAG Aviation España during a night crosswind landing. During the landing at Prestwick Airport on 6 March 2014, the right wing touched the runway.
Global 6000 Crosswind Landing Accident – UK AAIB Report Read Post »
UK CAA Release Crew Resource Management Videos In an initiative to improve Crew Resource Management (CRM) in the industry the UK Civil Aviation Authority (CAA) has released a series of open-access training videos. The CAA comment that: The three case-study videos have been developed to highlight some of the main human factors concerns currently facing the aviation industry,
UK CAA Release CRM Videos Read Post »
We look at the safety lessons from three AAIB reports into serious incidents during maintenance check flights.
Maintenance Check Flights: Safety Lessons Read Post »
Safety culture is increasingly recognised as critical to safety performance. But how do you develop your organisation’s safety culture? Safety Leadership.
How To Develop Your Organisation’s Safety Culture Read Post »
