AAIB Highlight Electronic Conspicuity and the Limitations of See and Avoid after Mid Air Collision
The C152 was unknowingly descending and overtaking the Cabri. with both aircraft in each other’s blindspot, showing the challenges of see and avoid.
Investigation into F-22A Take Off Accident Highlights a Cultural Issue
Take off performance was seen as unconcerning in the powerful F-22A, so calculations were skipped and under-speed rotation had become common across the F-22 community.
Investigation into F-22A Take Off Accident Highlights a Cultural Issue Read Post »
Inadequate Maintenance, An Engine Failure and Mishandling: Crash of a USAF WC-130H
Botched engine maintenance trouble shooting preceded an engine failure on take off and aircraft mishandling that resulted in the loss of a C-130 and 9 personnel.
Inadequate Maintenance, An Engine Failure and Mishandling: Crash of a USAF WC-130H Read Post »
Lost Tool FODs Propeller Blade, Penetrating Turboprop’s Fuselage
A forgotten tool from uncompleted maintenance causes propeller damage with multiple fuselage penetrations and damage to an unoccupied seat armrest!
Lost Tool FODs Propeller Blade, Penetrating Turboprop’s Fuselage Read Post »
Korean T-50 Accident at Singapore Airshow
During the take off of a military jet trainer nose wheel steering was disengaged when the nose wheel was not aligned with the direction of travel. The aircraft zig-zagged for 750m before going off the runway and over turning.
Korean T-50 Accident at Singapore Airshow Read Post »
Lufthansa MD-11F Nose Wheel Detached after Maintenance Error
A Lufthansa Cargo MD-11F nose wheel detached shortly after maintenance. The investigation report was issued almost 2 years later but reveals almost nothing on the circumstances the maintenance was conducted in.
Lufthansa MD-11F Nose Wheel Detached after Maintenance Error Read Post »
Eclipse 500 Landing Gear Production Defect
A fatigue failure emanated from incorrect machining in a high stress area on the MLG trunnion.
Eclipse 500 Landing Gear Production Defect Read Post »
Crossed Cables: Colgan Air B1900D N240CJ Maintenance Error
On 26 August 2003 a B1900D crashed on take off after errors during flying control maintenance. We look at the maintenance human factors safety lessons from this and another B1900 accident that year.
Crossed Cables: Colgan Air B1900D N240CJ Maintenance Error Read Post »
Investigation into Jet Airways B777 VT-JEK Serious Incident at Heathrow
Due to errors in performance calculation the aircraft departed from an intersection with thrust set for a full runway length take off.
Investigation into Jet Airways B777 VT-JEK Serious Incident at Heathrow Read Post »
Improvised Troubleshooting After Cascading A330 Avionics Problems
An XL Airways A330 suffered a cascading series of failures. The BEA look at the human factors aspects of the incident.
Improvised Troubleshooting After Cascading A330 Avionics Problems Read Post »
Fire After O-Ring Nipped on Installation
An installation error resulted in an engine fire on the next flight. In a report issued on 20 July 2018, NTSB identify errors in maintenance manual instructions that highlight how being compliant is not enough.
Fire After O-Ring Nipped on Installation Read Post »
Distracted B1900C Wheels Up Landing in the Bahamas
After a wheels up landing the flight crew claimed they had lowered the gear. The evidence disagreed.
Distracted B1900C Wheels Up Landing in the Bahamas Read Post »
B1900D Emergency Landing: Maintenance Standards & Practices
The TSB report posses many questions on the management and oversight of aircraft maintenance, competency and maintenance standards & practices. We look at opportunities for forward thinking MROs to improve their maintenance standards and practices.
B1900D Emergency Landing: Maintenance Standards & Practices Read Post »
Singapore Airlines B777 41t Fuel Discrepancy Incident
We summarise a TSIB report into how an SIA B777 took off with a 41t fuel discrepancy (after a combination of aircraft system failure and erroneous verification of the fuel quantity).
Singapore Airlines B777 41t Fuel Discrepancy Incident Read Post »
Too Rushed to Check: Misrigged Flying Controls
If you had spent 2 years rebuilding a classic Piper PA-12 you’d make the time to check the rigging of the flying controls before first flight, right? Sadly, the pilot in this fatal case study was in a rush.
Too Rushed to Check: Misrigged Flying Controls Read Post »
When Screens Go Blank: NTSB on a 787 Display Loss After a Lightning Strike
The crew of a B787-800 lost 3 of the 5 flight display screens during a climb out of LHR after a lightning strike. The current industry standard for lightning tests do not include test conditions simulating a rapid transient radiated electric field.
When Screens Go Blank: NTSB on a 787 Display Loss After a Lightning Strike Read Post »
NTSB Probable Causes and Bad Apples
Do accident reports make the error of treating human error as a cause not a symptom?
NTSB Probable Causes and Bad Apples Read Post »
A330 Starts to Taxi Before Tug is Clear
ATSB say misunderstandings by the parties involved led to incorrect expectations and the aircraft beginning to taxi prior to the tug moving clear.
A330 Starts to Taxi Before Tug is Clear Read Post »
C208B Force Landing After Inadequate Maintenance Fault Finding
Everyone walked away from this accident after a faulty fuel line clamp was missed during an inspection.
C208B Force Landing After Inadequate Maintenance Fault Finding Read Post »
Investigators Criticise Cargo Carrier’s Culture & FAA Regulation After Fatal Somatogravic LOC-I
A Shorts 360 cargo aircraft contracted to FedEx crashed in the Caribbean after the crew likely suffered a Somatogravic Illusion raising the flaps on a dark night in 2014. The lack of an FAA SMS regulation for Part 135, the operator’s poor safety culture and implications for the wider industry culture stand out in a thoughtful accident report.
Man Hit By Aircraft During Arctic Nuclear Sub Exercise
During take off from a floating ice runway, while supporting a US/UK nuclear submarine exercise in the Arctic (ICEX 2018), a civilian Twin Otter strikes a photographer alongside the runway.
Man Hit By Aircraft During Arctic Nuclear Sub Exercise Read Post »
King Air 200 Smoke and Fumes From Windshield Electrical Fault
Under-torquing a screw 5 years earlier is believed to be the cause of this in flight emergency.
King Air 200 Smoke and Fumes From Windshield Electrical Fault Read Post »
Indian King Air Take Off Accident: Organisational & Training Weaknesses
Investigators point to a shelfware SMS and low crew type experience / confidence in an automation related KA200 accident that killed 10.
Indian King Air Take Off Accident: Organisational & Training Weaknesses Read Post »
Significant Twin Otter NLG Crack
A significant crack was found in the Nose Landing Gear of a Viking DHC-6 Twin Otter according to a CASA SDR.
Significant Twin Otter NLG Crack Read Post »
USAF F-16C Crash: Engine Maintenance Error
A $22mn F-16C was lost after components were omitted when assembling an engine control unit. The USAF investigation points to a lack of ‘parts accountability’ in the overhaul shop.
USAF F-16C Crash: Engine Maintenance Error Read Post »