Easyjet A320 Flap / Landing Gear Mis-selections
AAIB examine the human factors related to a number of flap / landing gear mis-selections.
Easyjet A320 Flap / Landing Gear Mis-selections Read Post »
USAF Tool Trouble: “Near Catastrophic” $25mn E-8C FOD Fuel Tank Rupture
Ineffective tool control was behind a ‘near catastrophic’ incident on 13 March 2009.
USAF Tool Trouble: “Near Catastrophic” $25mn E-8C FOD Fuel Tank Rupture Read Post »
Engine Failure after Inadvertently Being Put Back into Service Incomplete
An AGB module was inadvertently sent for overhaul. Work commenced before it was realised. The module was then sent back u/s but the log card entry was changed subsequently to serviceable not realising a filter was missing. The pilot made an excellent autorotation though.
Engine Failure after Inadvertently Being Put Back into Service Incomplete Read Post »
What a Difference a Hole Makes: E-8C JSTARS $7.35 million Radar Mishap
Contractor errors in base maintenance have a high financial impact.
What a Difference a Hole Makes: E-8C JSTARS $7.35 million Radar Mishap Read Post »
USAF Parachutist Fatally Extracted Through Ventilation Door
The parachute was inadvertently deployed through a small ventilation door. We look at the ergonomics of the parachute and an absence of guidance on use of the ventilation door.
USAF Parachutist Fatally Extracted Through Ventilation Door Read Post »
Merlin Night Airprox: Systemic Issues
Ambitious training, poorly integrated equipment with no policy on its use, u/s transponders and reduced radar coverage all feature in this airprox with two ASW helicopters.
Merlin Night Airprox: Systemic Issues Read Post »
AS350B2 Accident After Vibration from Unrecorded Maintenance
Four days before the accident the MRBs had been removed and re-installed. No RTB was done. While ground running at a remote site, increasing vibration triggered the pilot to lift off. NR was low and the helicopter tumbled down a slope.
AS350B2 Accident After Vibration from Unrecorded Maintenance Read Post »
ADA AW139 A6-AWN Ditching off UAE, 29 April 2017: Final Report
The GCAA AAIS discuss the cause of a precautionary ditching and examine the performance of flotation and survival features.
ADA AW139 A6-AWN Ditching off UAE, 29 April 2017: Final Report Read Post »
Meeting Your Waterloo: Competence Assessment and Remembering the Lessons of Past Accidents
No one was injured in this low speed derailment after signal maintenance errors but investigators expressed concern that the lessons from the fatal triple collision at Clapham in 1988 may have been forgotten.
Japanese Rescue B412 Fatal CFIT
Distractions and fatigue were involved in a CFIT in Japan in which 9 rescuers died.
Japanese Rescue B412 Fatal CFIT Read Post »
A319 / Cougar Airprox at MRS: ATC Busy, Failed Transponder and Helicopter Filtered From Radar
BEA point to a series of human factors and technical problems in this near mid air collision.
Commander of Crashed Dash 8 Q400 in Nepal “Harboured Severe Mental Stress” Say Investigators
A stressed and erratic aircraft commander featured in this horrific landing accident in Nepal.
MC-12W Loss of Control Orbiting Over Afghanistan: Lessons in Training and Urgent Operational Requirements
A very low experience on type flight crew had been paired together. Surprisingly little comment is made by investigators of insufficient certification testing of the modified aircraft and the failure to act after 4 prior ‘near catastrophic’ stall events.
RCMP AS350B3 Left Uncovered During Snowfall Fatally Loses Power on Take Off
The engine intake was left uncovered during a lunch break, when it had started to snow. This allowed ice to form that broke away and damaged the engine. Turns out similar happened at a US HEMS operator within 12 months.
RCMP AS350B3 Left Uncovered During Snowfall Fatally Loses Power on Take Off Read Post »
HF of the Selection of Parking Brake Instead of Speed Brake During a Hectic Approach
AAIB examine the human factors related to the mistaken selection of a parking brake instead of the speed brake that was the precursor to an ERJ145 runway excursion at Bristol.
HF of the Selection of Parking Brake Instead of Speed Brake During a Hectic Approach Read Post »
Incorrectly Rigged B1900D Charlotte, NC, 8 January 2003: 21 Fatalities
The crew were unable to control the aircraft in pitch due to errors during maintenance two evenings before. We look at some of the human performance influencing factors in this accident that killed 21.
Incorrectly Rigged B1900D Charlotte, NC, 8 January 2003: 21 Fatalities Read Post »
Fatal Biplane/Helicopter Mid Air Collision in Spain, 30 December 2017
At an uncontrolled aerodrome the Jungmann biplane struck the B412’s tail rotor. The biplane pilot died but all 10 POB on the firefighting helicopter survived.
Fatal Biplane/Helicopter Mid Air Collision in Spain, 30 December 2017 Read Post »
Disorientated Dive into Lake Erie
Potential confusion with an unfamiliar cockpit, spatial disorientation and fatigue are all factors in this Cessna 525 accident that killed 6.
Disorientated Dive into Lake Erie Read Post »
Final Report Issued on 2008 B737 Bird Strike Accident in Rome
After 10 years, the ANSV report on a massive bird strike on a Ryanair 737 landing in Rome. Engine surges foiled a go-around and the aircraft landed hard in a near stalled state.
Final Report Issued on 2008 B737 Bird Strike Accident in Rome Read Post »
Inadequate Maintenance at a USAF Depot Featured in Fatal USMC KC-130T Accident
An inadequate USAF propeller overhaul preceded an in-flight failure that resulted on loss of a USMC C-130 and 16 personnel.
Inadequate Maintenance at a USAF Depot Featured in Fatal USMC KC-130T Accident Read Post »
USAF Engine Shop in “Disarray” with a “Method of the Madness”: F-16CM Engine Fire
An AIB report paints a sorry picture of a poor performing engine maintenance facility. But these short comings were known about over 5 years before this F-16CM accident…
USAF Engine Shop in “Disarray” with a “Method of the Madness”: F-16CM Engine Fire Read Post »
BFU Investigate S-76B Descending to 20ft at 40 kts En Route in Poor Visibility
The German safety investigation body, the BFU, has issued their final report into a serious incident that occurred to a Sikorsky S-76B returning from an offshore electricity sub-station.
BFU Investigate S-76B Descending to 20ft at 40 kts En Route in Poor Visibility Read Post »
CRJ900 Skids Sideways Down Finnish Runway
We look at the SIAF investigation report on how an airliner ended pointing 196 degrees to its touch down direction on an icy runway in Finland.
CRJ900 Skids Sideways Down Finnish Runway Read Post »
Iced C208 Loses Airspeed During Circling Approach and Strikes Ground
This C208 struck the ground after a bid build up of ice during an overly slow circling approach in poor weather. It highlights the need to verify understanding after training.
Iced C208 Loses Airspeed During Circling Approach and Strikes Ground Read Post »
SAR Crew With High Workload Land Wheels Up on Beach
JTSB look at an inadvertent wheels up landing during a SAR mission.
SAR Crew With High Workload Land Wheels Up on Beach Read Post »