In a thunderstorm, this 737 hydroplaned after an unstable approach. NTSB comment on PF’s plan continuation bias and the PM’s lack of experience. The FAA has issued further guidance on calculating landing lengths and imposed a fine on an MRO who had conducted defective work on rafts and slides.
NTSB Report on Miami Air International Jacksonville B737-800 Runway Excursion Read Post »
The pilot told the NTSB in a telephone interview that he “just didn’t see the truck”.
Pilatus PC-12 Collided with Pick-Up Truck During Dusk Take Off Read Post »
The C208 pilot thought he had set the parking brake and focused his attention inside the cockpit.
Cessna 208B Collides with C172 after Distraction Read Post »
The investigation showed that the RNoAF should intensify its safety management, including on risk, competency and safety culture. It also identified a need for an independent and comprehensive supervisory body for military aviation in Norway.
A Second from Disaster: RNoAF C-130J Near CFIT Read Post »
We look at a takeoff accident to a USAF UAS where the engine condition lever was retarded instead of the flaps being retracted.
USAF MQ-9A Reaper Lever Confusion: Human Factors Read Post »
NTSB suggest an air lock in the fuel system plus an auto-feather system failure which may have occurred if the power lever was manually retarded during the auto-feather sequence. The DC-3 was below the airspeed required to maintain lateral control after an engine failure with an unfeathered propeller.
An ATR72 suffered an uncommanded yaw and roll as it accelerated through 185 knots. The cause was traced to misassembly during a prior maintenance check. A cam in the rudder Travel Limitation Unit could be reversed, and pressures during the check triggered that misassembly.
At top of descent a 15 kg MLG door separated causing damage. Maintenance data “complex and contained error” and allowed “allowed nuts to be reused without checking their self-locking capability”.
A series of systemic maintenance human factors issues emerge from a detailed AAIB investigation into cockpit/cabin fume event.
Flybe Fume Event (Part 1): Compressor Wash Maintenance Human Factors Case Study Read Post »
The fitment of unapproved engine control parts was fundamental to an accident during training say the SA CAA.
Piper PA-30 Twin Comanche Accident After Unapproved Parts Failed Read Post »
The NTSB preliminary report on a PC-12 ditching during a Pacific ferry flight points to a flameout while adjusting the ferry fuel system. Both crew were rescued after 22 hours in a raft.
Pilatus PC-12 Pacific Ditching Read Post »
An omission of a vertical profile on the Jeppesen chart, a demoted and confused First Officer plus a tired Commander… Yet a vertical profile was programmed in the FMS, but crews weren’t told.
A Saab 2000 Descended 900 ft Too Low on Approach to Billund Read Post »
The BEA look as production, maintenance fault-finding and flight operations lessons from a pair of incidents involving the AOA sensors on a Transavia Boeing 737-800.
AOA Anomalies on Successive B737-800 Flights Read Post »
Investigators identified chafing due to production errors but also highlight the first maintenance inspection was not scheduled until 36000 flying hours and there was poor guidance of when to use a fire axe to aid fire-fighting.
Embraer ERJ-190 EWIS Production Quality a Factor in Fire Read Post »
A failed brazed stator assembly repair resulted in an uncontained turbine failure. The investigation identified apparent omissions in a DER produced repair scheme.
King Air 100 Uncontained TPE331-6 Failure – Inappropriate Repair Scheme Read Post »
Investigators point to missed opportunities to prevent accidents by collaboratively acting on past safety reports. “The aim should be to process the reports in a coordinated manner so that lessons could be learned…” including sharing between organisations.
An Uncoordinated Fall from an A320 at Helsinki: How Just Reporting is Not Enough Read Post »
We look how a defence contractor was killed during weapons training on a New Mexico range. We also critique the USAF AIB HFACS human factors analysis. A case of ‘What-You-Look-For-Is-What-You-Find’ (WYLFIWYF)?
Friendly Fire: Civilian Shot in the Head During USAF F-16 Training Read Post »
The AAIB identify weaknesses in maintenance practices relating to flying control cables, an unrelated anomaly that has occurred on a number of Q400s and a weakness in how the Q400 FDR processes data that has been solved only for US operators.
Dash 8 Q400 Control Anomalies: 1 Worn Cable and 1 Mystery Read Post »
The AAIB highlight safety lessons after an incident that occurred when an aircraft that had been in storage was being prepared for a ferry flight by personnel from 4 different organisations. This is topical at a time when many aircraft are entering and leaving storage due to COVID-19.
Runaway Dash 8 Q400 at Aberdeen after Miscommunication Over Chocks Read Post »
NTSB say that improper maintenance practices resulted in a lack of lubrication and excessive wear on an MLG uplock actuator.
Frozen Dash 8-100 Landing Gear After ‘Improper Maintenance Practices’ Say NTSB Read Post »
Failure to perform the Descent Check during the approach was a key factor for a loss of direction control after landing. This had “become a fairly common practice among crews”.
Degraded gust locks, an omission in familiarisation, a non-specific checklist and inadequate pre-flight checks all feature in this survey aircraft runway excursion.
Gust Lock Gaff: King Air A90 Runway Excursion Read Post »
An operator’s inadequate oversight of its flights, routine exceedance of Flight Manual limitations and an inadequate regulatory structure for aerobatic ‘experiences’ are highlighted by NTSB.
Too Extreme: Fatal Sky Combat Ace EA300 Aerobatic Accident Read Post »
Insufficient fuel, a switch selection error that resulted in both a loss of electrical power and accelerated fuel burn and a distracting breakdown of pilot/medical personnel communication.
Air Ambulance Forced Landing: Fuel and Switch Errors Plus CRM Breakdown Read Post »
In heavy rain, darkness and with limited visual cues the aircraft briefly drifted just before touch down and a nacelle grazed the runway. ATSB look at why the damage was not detected for several days.
Boeing 737-800 Engine Nacelle Strike and Continued Operation Read Post »
