Design & Certification

Design Organisations / DOAs, Part 21, EMAR-21, DAOS, Aircraft Design, Aeronautical Engineering

BK117B2 Air Ambulance Flameout: Fuel Transfer Pumps OFF, Caution Lights Invisible in NVG Modified Cockpit

Accidents & Incidents, Design & Certification, Helicopters, Human Factors / Performance, Safety Management, Special Mission Aircraft

Dimming the NVG compatible cockpit lighting for a flight at dusk meant the fuel transfer pump caution lights were invisible. The failure to turn these pumps on was only evident after flameout. We wrote of this problem 14 months earlier after a NZ HEMS accident.

BK117B2 Air Ambulance Flameout: Fuel Transfer Pumps OFF, Caution Lights Invisible in NVG Modified Cockpit Read Post »

A Failure in Propeller Design and Certification Resulted in the Loss of an EMB-120 in 1991

Accidents & Incidents, Design & Certification, Fixed Wing, Safety Management

In 1991 a minor modification, changing a surface treatment, triggered accelerated wear and a catastrophic propeller failure. The FAA conducted a Special Certification Review. A failsafe design and certification rule changes followed.

A Failure in Propeller Design and Certification Resulted in the Loss of an EMB-120 in 1991 Read Post »

MC-12W Loss of Control Orbiting Over Afghanistan: Lessons in Training and Urgent Operational Requirements

Accidents & Incidents, Design & Certification, Fixed Wing, Human Factors / Performance, Military / Defence, Safety Management, Special Mission Aircraft

A very low experience on type flight crew had been paired together. Surprisingly little comment is made by investigators of insufficient certification testing of the modified aircraft and the failure to act after 4 prior ‘near catastrophic’ stall events.

MC-12W Loss of Control Orbiting Over Afghanistan: Lessons in Training and Urgent Operational Requirements Read Post »

Incorrectly Rigged B1900D Charlotte, NC, 8 January 2003: 21 Fatalities

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

The crew were unable to control the aircraft in pitch due to errors during maintenance two evenings before. We look at some of the human performance influencing factors in this accident that killed 21.

Incorrectly Rigged B1900D Charlotte, NC, 8 January 2003: 21 Fatalities Read Post »

Low Viz Helicopter CFIT Accident, Alaska

Accidents & Incidents, Design & Certification, Helicopters, Human Factors / Performance, Maintenance / Continuing Airworthiness / CAMOs, Safety Culture, Safety Management

An AS350B2 impacted terrain after continuing visual flight into deteriorating IMC. The helicopter was configured with boxes to carry huskies, but their weight was not accounted for, so the aircraft was operating overweight.

Low Viz Helicopter CFIT Accident, Alaska Read Post »

In-Flight Flying Control Failure: Indonesian Sikorsky S-76C+ PK-FUP

Accidents & Incidents, Design & Certification, Helicopters, Human Factors / Performance, Maintenance / Continuing Airworthiness / CAMOs, Oil & Gas / IOGP / Energy, Safety Management

The investigators’ final report confirms that control was lost after a flying control connection failed after a loss of torque and progressive wear to the point of separation from the rod end. This accident highlights the need to make timely progress in accident investigations.

In-Flight Flying Control Failure: Indonesian Sikorsky S-76C+ PK-FUP Read Post »

“Delivering Our Priorities”: HeliOffshore 2018 Conference Report

Accidents & Incidents, Crises / Emergency Response / SAR, Design & Certification, Helicopters, Human Factors / Performance, HUMS / VHM / UMS / IVHM, Maintenance / Continuing Airworthiness / CAMOs, Offshore, Oil & Gas / IOGP / Energy, Regulation, Resilience, Safety Culture, Safety Management, Survivability / Ditching

We report from the fourth HeliOffshore Conference and AGM on ‘Delivering Our Priorities’ for improved offshore helicopter safety.

“Delivering Our Priorities”: HeliOffshore 2018 Conference Report Read Post »

Scroll to Top