Crises / Emergency Response / SAR

When a Crew Intentionally Left Their Aircraft Running Knowing it Would Damage Itself…

Accidents & Incidents, Crises / Emergency Response / SAR, Helicopters, Human Factors / Performance, Maintenance / Continuing Airworthiness / CAMOs, Military / Defence, Safety Culture, Safety Management

An unusual event, rapid innovation & collaboration and a good example why culpability decision aids can be a distraction.

When a Crew Intentionally Left Their Aircraft Running Knowing it Would Damage Itself… Read Post »

Engine & Emergency Flotation Failures – Greenland B206L4 Ditching

Accidents & Incidents, Crises / Emergency Response / SAR, Design & Certification, Helicopters, Maintenance / Continuing Airworthiness / CAMOs, Offshore, Safety Management, Survivability / Ditching

A tiny loose turbine bearing tang triggers an autorotation but frozen water in a hose caused the EFS to malfunction. SB/ICA changes for engine and EFS.

Engine & Emergency Flotation Failures – Greenland B206L4 Ditching Read Post »

S-76D Loss of Control on Approach to an Indian Drilling Rig

Accidents & Incidents, Crises / Emergency Response / SAR, Design & Certification, Helicopters, Human Factors / Performance, Offshore, Oil & Gas / IOGP / Energy, Regulation, Safety Culture, Safety Management, Survivability / Ditching

A low time on type crew lost control while distracted. Everyone escaped but 4 died in the water due to poor briefings and inadequate rescue capability.

S-76D Loss of Control on Approach to an Indian Drilling Rig Read Post »

29 Seconds to Impact: A Fatal Night Offshore Approach in the Irish Sea

Accidents & Incidents, Airfields / Heliports / Helidecks, Crises / Emergency Response / SAR, FDM / Data Recorders, Helicopters, Human Factors / Performance, Offshore, Oil & Gas / IOGP / Energy, Regulation, Safety Culture, Safety Management

A loss of control on approach to a helideck at night that completes a trilogy of case studies where visual cueing at offshore platforms is believed to have been a significant factor.

29 Seconds to Impact: A Fatal Night Offshore Approach in the Irish Sea Read Post »

Dramatic AW139 Accident at Houma: Skillful Recovery from a Latent Production Defect

Accidents & Incidents, Crises / Emergency Response / SAR, Design & Certification, Helicopters, Human Factors / Performance, Offshore, Oil & Gas / IOGP / Energy, Safety Management

Exemplary airmanship after a production defect, dormant for 11 years emerged. We look at human centred design and a ‘scary version’ of current supply chain issues.

Dramatic AW139 Accident at Houma: Skillful Recovery from a Latent Production Defect Read Post »

Two Offshore Passengers in GOM Survive Single Pilot Fatal Incapacitation

Accidents & Incidents, Crises / Emergency Response / SAR, Helicopters, Offshore, Oil & Gas / IOGP / Energy, Regulation, Safety Management, Survivability / Ditching

Despite a slow emergency response, 2 passengers survive after pilot incapacitated 2 weeks after a Class 1 medical. Second fatal pilot incapacitation in GOM in 2022.

Two Offshore Passengers in GOM Survive Single Pilot Fatal Incapacitation Read Post »

Fatal Offshore S-76C++ LOC-I & Water Impact Brazil 2022: CENIPA Investigation

Accidents & Incidents, Crises / Emergency Response / SAR, Helicopters, Offshore, Oil & Gas / IOGP / Energy, Regulation, Safety Culture, Safety Management, Survivability / Ditching

The Aircraft Commander / Instructor died after a water impact during the first flight of a command course following a loss of control on approach to a NUI.

Fatal Offshore S-76C++ LOC-I & Water Impact Brazil 2022: CENIPA Investigation Read Post »

Night Offshore Helicopter Approach Water Impact

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

A night visual approach resulted in illusions that resulted in a water impact. Everyone on board was rescued but not before highlighting many survivability & SAR enhancements, as well as triggering improved helideck lighting and TAWS improvements.

Night Offshore Helicopter Approach Water Impact Read Post »

South Korean Night Black Hole Spatial Disorientation Fatal Helicopter Accident

Accidents & Incidents, Airfields / Heliports / Helidecks, Crises / Emergency Response / SAR, Helicopters, Human Factors / Performance, Safety Management, Special Mission Aircraft

We translate a South Korean report into an emergency service helicopter accident investigation. Spatial disorientation, use of automation and heliport management issues.

South Korean Night Black Hole Spatial Disorientation Fatal Helicopter Accident Read Post »

Helicopter Water Impact Accident: Safety of Airborne Geophysical Survey Operations

Accidents & Incidents, Crises / Emergency Response / SAR, Helicopters, Human Factors / Performance, Mining / Resource Sector, Safety Culture, Safety Management, Special Mission Aircraft, Survivability / Ditching

An aerial survey accident highlights problems implementing flight following technology, the dangerous use of marine lifejackets and the value of considering competence.

Helicopter Water Impact Accident: Safety of Airborne Geophysical Survey Operations Read Post »

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 »

Blinded by Light, Spanish Customs AS365 Crashed During Night-time Hot Pursuit

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

A helicopter contracted by Spanish customs hit the sea at night when descending to intercept smugglers. The sensor operator in the cabin died.

Blinded by Light, Spanish Customs AS365 Crashed During Night-time Hot Pursuit Read Post »

SAR Hoist Cable Snag and Facture, Followed By Release of an Unserviceable Aircraft

Accidents & Incidents, Crises / Emergency Response / SAR, Helicopters, Human Factors / Performance, Maintenance / Continuing Airworthiness / CAMOs, Safety Management, Special Mission Aircraft

A loop of cable snagged on the MLG and the cable was severed. The aircraft was later released to fly with MLG damage.

SAR Hoist Cable Snag and Facture, Followed By Release of an Unserviceable Aircraft Read Post »

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