Easyjet A319 Heavy Landing
The NLG shock-absorber cylinder was found buckled after a heavy landing when distractions and high workload likely contributed to a nose-down pitch input just before touchdown.
Easyjet A319 Heavy Landing Read Post »
United Airlines Suffers from ED (Error Dysfunction)
A US airline shows a strange grasp of human factors principles and argues AGAINST a design change intended to address a long running series of maintenance errors.
United Airlines Suffers from ED (Error Dysfunction) Read Post »
Crossed Wires: Online Maintenance Human Factors Training Video
In need of inspiration for your maintenance human factor continuation training? Why not use this free CASA HF video?: ‘Crossed Wires’
Crossed Wires: Online Maintenance Human Factors Training Video Read Post »
Coking Causes Power Loss: Australian AS350BA
Coking in an oil jet resulted in a turbine shaft failure during a low level survey. The emergency landing was handled in a “competent and proficient manner” say ATSB.
Coking Causes Power Loss: Australian AS350BA Read Post »
Contained Failure / IFSD of a PW4056 on 2 October 2015
A Delta 747 suffered a contained engine failure in cruise that resulted in an AD on LP Turbine inspections.
Contained Failure / IFSD of a PW4056 on 2 October 2015 Read Post »
Production Errors on a SAR AW139 Helicopter Full Ice Protection System
A catastrophic accident was prevented by the electrical harness. A series of quality issues were found in the FIPS. In particular screws intended for another part of the unit had been fitted and bottomed out leading to a fatigue failure.
Production Errors on a SAR AW139 Helicopter Full Ice Protection System Read Post »
Swedish Stick Shake: Dormant Sensor Defect not Detected on Installation
False stick shaker and stick pusher activation occurred after an airflow sensor with a dormant failure was fitted and a key functional test omitted.
Swedish Stick Shake: Dormant Sensor Defect not Detected on Installation Read Post »
Loss of AS332L1 LN-OPG off Brønnøysund, Norway, 8 September 1997
This accident and the loss of 12 lives off the coast of Norway in 1997 had far reaching consequences for the use and regulation of helicopter HUMS.
Loss of AS332L1 LN-OPG off Brønnøysund, Norway, 8 September 1997 Read Post »
Tiger A320 Fan Cowl Door Loss & Human Factors: Singapore TSIB Report
The Singapore TSIB report on yet another A320 fan cowl loss. We look at the human factors that influenced missing the unlatched cowls.
Tiger A320 Fan Cowl Door Loss & Human Factors: Singapore TSIB Report Read Post »
A320 Rolls Back on Stand: Incomplete Maintenance Procedures and Ground Handling Deviations
The brakes had been set OFF during maintenance trouble shooting and the chocks removed prematurely, so the aircraft rolled when a tug with a u/s radio was being swapped out.
A320 Flown on After Damaging Heavy Landing
An A320 was flown with pax back to Germany after a 3.32G heavy landing due to insufficient maintenance resource and lack of understanding of fault codes say CIAIAC.
A320 Flown on After Damaging Heavy Landing Read Post »
False Fire Warning and Unfeathered Propeller KA200 Accident
An air ambulance King Air 200 was substantially damaged during a single engined landing in Australia with HF, training, SMS and CAMO lessons.
False Fire Warning and Unfeathered Propeller KA200 Accident Read Post »
Incomplete Maintenance Leads to Fatal Collective Control Loss on B407
A critical flying control component was unnecessarily removed during an inspection say the NTSB and when refitted, the fasteners were not lock-wired with fatal consequences.
Incomplete Maintenance Leads to Fatal Collective Control Loss on B407 Read Post »
Elevator Failure: Moisture + Heat
A combination of thermal load from a dark colour scheme and moisture caused a disbond on an RCAF CC150 Polaris (A310) elevator.
Elevator Failure: Moisture + Heat Read Post »
How do we Improve Human Performance in Today’s Aviation Business?
Aerossurance is pleased to support this Chartered Institute of Ergonomics & Human Factors (CIEHF) conference at Gatwick 13-14 November 2017.
How do we Improve Human Performance in Today’s Aviation Business? Read Post »
Super Puma Epicyclic Gear Health Monitoring Background
We look at health monitoring, both oil debris and HUMS/VHM, in light of the EC225 LN-OJF accident investigation.
Super Puma Epicyclic Gear Health Monitoring Background Read Post »
Maintenance Human Factors in Finnish F406 Landing Gear Collapse
Safety investigators discuss the associated maintenance human factors and inadequacies in the type’s maintenance instructions.
Maintenance Human Factors in Finnish F406 Landing Gear Collapse Read Post »
Deepening Delivery: HeliOffshore 2017 Conference Report
We report from the third HeliOffshore Conference and AGM on deepening commitment and collaboration to improve offshore helicopter safety.
Deepening Delivery: HeliOffshore 2017 Conference Report Read Post »
Corrosion Found on an S-92A Flying Control Bracket
Corrosion was recently found on a flying control bracket of a 3 year old Australian Sikorsky S-92A masking the attachment bolt torque value.
Corrosion Found on an S-92A Flying Control Bracket Read Post »
Bell 429 TR Pitch Change Link Bearing Failure
Bell Helicopter issues an ASB but it takes 6 months for an ‘Emergency’ AD and compliance by the operator. However, critical damage was missed.
Bell 429 TR Pitch Change Link Bearing Failure Read Post »
AS365N3 Tail Rotor Pitch Control Loss During Hoisting
The undetected failure of a TR pitch change bearing resulted in a horrific winching accident in Taiwan, in which two people died. We delve into the ASC’s final report (only published in full in Chinese).
AS365N3 Tail Rotor Pitch Control Loss During Hoisting Read Post »
Insecure Pitch Link Fatal R44 Accident
During a post-maintenance check flight the main rotor separated from an R44 after a maintenance assembly error.
Insecure Pitch Link Fatal R44 Accident Read Post »
Cessna 208 Forced Landing: Engine Failure Due To Re-Assembly Error
86 flying hours before this accident, on a different continent, a component was omitted during maintenance. We look at the airworthiness and flight ops safety lessons.
Cessna 208 Forced Landing: Engine Failure Due To Re-Assembly Error Read Post »
Director of Maintenance Pleads Guilty To Obstructing an NTSB Air Accident Investigation
We look at the background to this guilty plea and the associated maintenance related accident.
Director of Maintenance Pleads Guilty To Obstructing an NTSB Air Accident Investigation Read Post »
Smoke in Cabin: Anatomy of a Wash Rig Error
We focus on the maintenance HF lessons from a serious incident involving smoke in the cabin of an A320 on take off.
Smoke in Cabin: Anatomy of a Wash Rig Error Read Post »