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 »
Flawed Post-Flight and Pre-Flight Inspections Miss Propeller Damage
We look at an ATSB report into why propeller damage was missed on several inspections. They comment on distractions/interruptions and complacency.
Flawed Post-Flight and Pre-Flight Inspections Miss Propeller Damage Read Post »
Lost in Translation: Misrigged Main Landing Gear
Erroneous translation of a CMM from English to French resulted in incorrect instructions being followed.
Lost in Translation: Misrigged Main Landing Gear Read Post »
Dispatcher Forced to Run After Distracted Pushback
A dispatcher was forced to run when an aircraft started to taxi while he was still connected to it after the crew became distracted, skipped procedural steps and misidentified the dispatcher.
Dispatcher Forced to Run After Distracted Pushback Read Post »
RCAF Production Pressures Compromised Culture
The investigation into a training accident identified a unit culture that instructor proficiency was not a high priority but student output was, and consequently flight commanders and schedulers acted within that culture.
RCAF Production Pressures Compromised Culture Read Post »
Human Factors of Dash 8 Panel Loss
We look at the operational and maintenance HF aspects of the loss of a panel from a Dash 8 and how the response to a previous incident had failed.
Human Factors of Dash 8 Panel Loss Read Post »
RJ85 Landed Alongside Runway Obscured by Dust
We look at the human factors that influenced a landing parallel to an unsealed runway on a FIFO charter to an Australian gold mine on 20 Jan 2017.
RJ85 Landed Alongside Runway Obscured by Dust Read Post »
A320 Collided with Two De-Icing Trucks
Misinterpretation of communication due to a lack of standardised phraseology was a factor in this incident say the BFU, when an A320 attempted to return to stand after a checklist error.
A320 Collided with Two De-Icing Trucks Read Post »
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 »
Overworked Yuletide Loading Error
A loading incident during a busy-pre Christmas period highlights the effect of high workload on data input errors, as well as the importance of system feedback of incorrectly entered data.
Overworked Yuletide Loading Error Read Post »
Irish Air Corps Order Pilatus PC-12s
The Irish Air Corps (IAC) signed a contract on 19 December 2017 for three special mission Pilatus PC-12 aircraft, mission equipment and support services worth €32 million.
Irish Air Corps Order Pilatus PC-12s Read Post »
Investigation into Secretive Surveillance Aircraft Accident in Malta 24 Oct 2016
A US registered SA227 AT Merlin IVC surveillance aircraft, chartered from a Luxembourg company by an unspecified French government agency had a fatal accident in Malta.
Investigation into Secretive Surveillance Aircraft Accident in Malta 24 Oct 2016 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 »
Luxair F50 LOC-I Accident 6 November 2002
Cockpit confusion, a rushed approach, procedural deviations and a design flaw featured in a fatal turboprop LOC-I accident in Luxembourg in 2002.
Luxair F50 LOC-I Accident 6 November 2002 Read Post »
How a Cultural Norm Lead to a Fatal C208B Icing Accident
TSB explain how an airline risk assessed operations into icing, had not implemented all the mitigations but had started routinely operating into forecast icing, with fatal consequences.
How a Cultural Norm Lead to a Fatal C208B Icing Accident 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 »
High G Drama at Cold Lake
The pilot of a CF-188 Hornet pulled out at 270ft above the ground after a partial loss of consciousness during a 6.8g overhead break.
High G Drama at Cold Lake Read Post »
When Green is for Stop: Poor Design HF
A runway arrestor gear system using green lights for both UP and DOWN has been involved in two incidents in Australia that highlight the risks of expectation bias.
When Green is for Stop: Poor Design HF 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 »
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 »
1980 MD-81 Flight Test Accident Video
A classic and spectacular MD-81 flight test landing accident caught in a brief video. We look at the NTSB investigation in more detail.
1980 MD-81 Flight Test Accident Video Read Post »
The Jet that Almost ‘Landed’ on a Tower Block
An airliner on a night approach at Dublin lined-up not on the runway but on the lights of a tower block. We look at the investigation, the lessons and the prompt safety action taken.
The Jet that Almost ‘Landed’ on a Tower Block Read Post »
Deadly Combination of Misloading and a Somatogravic Illusion: Alaskan Otter
Night departure of a Otter in Alaska into a ‘back hole’ when outside of the weight and CG limits resulted in spatial disorientation, a stall and LOC-I.
Deadly Combination of Misloading and a Somatogravic Illusion: Alaskan Otter 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.