An air ambulance King Air 200 was substantially damaged during a single engined landing in Australia with HF, training, SMS and CAMO lessons.
False Fire Warning and Unfeathered Propeller KA200 Accident Read Post »
A combination of thermal load from a dark colour scheme and moisture caused a disbond on an RCAF CC150 Polaris (A310) elevator.
Elevator Failure: Moisture + Heat Read Post »
David Marquet describes a technique developed while CO of the nuclear submarine USS Santa Fe, to reduce errors and increase mindfulness during critical tasks.
Deliberate Action: A Mindful Method from the Nuclear Navy Read Post »
Accident investigators comment on human factors that influenced a KA200 flypast, caught on video, which turned disastrously wrong in Iceland. Amazingly one person survived the impact.
Impromptu Flypast Leads to Disaster Read Post »
We examine the safety performance for the main European aviation sectors, described in the EASA ASR for 2017. The latest edition further extends the provision of safety risk portfolios through the addition of aerodromes/ground handling and ATM/ANS portfolios, bringing the total number of analysed aviation domains to 13.
EASA Annual Safety Review 2017 Published Read Post »
You may only have 5 seconds or so between the eye detecting an aircraft head-on and impact. The UK Airprox Board highlight 6 lessons from past airproxes/MACs.
Avoiding Mid Air Collisions: 5 Seconds to Impact Read Post »
A case study of a pathological safety culture. Management and peer pressure, compounded by poor contracting and scheduling by a cruise line resulted in high risk flights in poor weather.
All Aboard CFIT: Alaskan Sightseeing Fatal Flight and Safety Culture Read Post »
Safety investigators discuss the associated maintenance human factors and inadequacies in the type’s maintenance instructions.
Maintenance Human Factors in Finnish F406 Landing Gear Collapse Read Post »
A business jet was written off after dropping 9,000ft after an A380 wake vortex encounter resulted in a loss of control say the BFU.
BFU Report on Dramatic Challenger Wake Vortex Accident Read Post »
Pressure (human factors but not hydraulic!), changes of plan, distractions and skipped checklists all feature in this ground collision.
Ground Collision Under Pressure: Challenger vs ATV: 1-0 Read Post »
A low time on type crew, an out of limits tailwind and a demanding airport all conspire in this fatal Challenger CL-600 accident.
Unstabilised Approach Accident at Aspen Read Post »
EASA is tightening the regulation of safety-critical aeronautical navigation databases from Jan 2019 (topically after concerns were raised by the Irish AAIU after an S-92A accident).
EASA Decisions on Management of Aeronautical Databases / Part-DAT Read Post »
Good leaders inspire trust but there is a Dutch proverb: “Trust comes on foot, but leaves on horseback.” We discuss why trust is important in developing an organisation’s culture to overcome blame and fear and how behaviour is key.
Leadership and Trust Read Post »
We look at three significant incidents that led to the conclusion that the JT15D-5 on the Beechjet 400A is uniquely vulnerable to bird strikes.
NTSB Recommendation on JT15D Failure to Meet Certification Bird Strike Requirements Read Post »
86 flying hours before this accident, on a different continent, a component was omitted during maintenance. We look at the airworthiness and flight ops safety lessons.
Cessna 208 Forced Landing: Engine Failure Due To Re-Assembly Error Read Post »
We look at the background to this guilty plea and the associated maintenance related accident.
Director of Maintenance Pleads Guilty To Obstructing an NTSB Air Accident Investigation Read Post »
Continuing an unstable approach after a loss of visual reference led to a Jazz Dash 8 contacting the ground 450ft short of the runway, causing significant damage.
Unstable Approach Dash 8 Touches Down 450ft Before Threshold Read Post »
We focus on the maintenance HF lessons from a serious incident involving smoke in the cabin of an A320 on take off.
Smoke in Cabin: Anatomy of a Wash Rig Error Read Post »
Low familiarity with icing conditions and cognitive bias were factors in a serious incident for an ATR72 departing from Manchester last winter say AAIB.
ATR72 Cognitive Bias Leads to Control Problems Read Post »
An attentive flying control rigging check finds a shocking piece of FOD that highlights the importance (yet again) of effective tool control.
Flying Control FOD: Screwdriver Found in C208 Controls Read Post »
Aerossurance’s Andy Evans was invited to write an article for the International Federation of Airworthiness “Airworthiness Matters” publication on Next Generation Maintenance Human Factors.
Airworthiness Matters: Next Generation Maintenance Human Factors Read Post »
Mitsubishi confirm a further two-year delay in the delivery of the first MRJ90 to ANA. The programme is now 7 years behind its original schedule.
Mitsubishi MRJ (now SpaceJet) Schedule Slips Further Read Post »
Synthetic Vision Systems (SVS) are an increasingly common tool to enhance flight crew situational awareness. However the crew of a PC-12 were momentarily misled during a night-time medevac take-off by their SVS after a RADALT failure.
Confusion of Compelling, But Erroneous, PC-12 Synthetic Vision Display Read Post »
We discuss the potential availability and maintenance economic benefits and work Airbus has under way with IBM and Palantir.
EasyJet and Airbus Collaborate on ‘Big Data’ IVHM Read Post »
On the anniversary of the ‘miracle on the Hudson’ we look at how a catastrophic double engine bird strike in North America had been predicted 8 years before, in 2001.
Power of Prediction: Foresight and Flocking Birds Read Post »
