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 »
We report from the fourth HeliOffshore Conference and AGM on ‘Delivering Our Priorities’ for improved offshore helicopter safety.
“Delivering Our Priorities”: HeliOffshore 2018 Conference Report Read Post »
A pilot has a lucky escape auto-rotating into a ravine after the throttle bracket came loose 10 hours after installation.
Helicopter Throttle Bracket Left Unsecured After Maintenance Read Post »
A heavy landing after a crew were put under considerable stress during a poorly planned VIP flight booking and a hurried overweight take off.
An AW109SP, Overweight VIPs and Crew Stress Read Post »
Do accident reports make the error of treating human error as a cause not a symptom?
NTSB Probable Causes and Bad Apples Read Post »
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 »
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 »
It will be no revelation that alcohol and piloting are a bad mix. But what would you do if you saw someone drinking for several hours then saying they were going to “put on an airshow”?
The “Hold My Beer” Helicopter Accident Read Post »
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.
Taiwanese investigators determined that the hoist hook had been inappropriately assembled during maintenance 2 days earlier.
Hoist Assembly Errors: SAR Personnel Dropped Into Sea Read Post »
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 »
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 »
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 »
Interruption and distraction mean a walkaround was missed and the helicopter took off with a cowling unlatched. On approach it opened and struck the main rotor.
EC120 Forgotten Walkaround Read Post »
In a report released on 22 Feb 2018 the NTSB reveal shocking maintenance standards prior to an air tour accident in which a 16 year old boy died and his parents were seriously injured.
NTSB Reveal Lax Maintenance Standards in Honolulu Tour Helicopter Accident Read Post »
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 »
Less than a month after a formal training course, a winch operator fatally falls from a Police B429 during hoist training in Delaware.
Fatal Fall From B429 During Helicopter Hoist Training Read Post »
Erroneous translation of a CMM from English to French resulted in incorrect instructions being followed.
Lost in Translation: Misrigged Main Landing Gear Read Post »
Is complacency really more about risk perception and tolerance? The RAIB recommend leadership, people management and risk perception development to address complacency.
Complacency: A Useful Concept in Safety Investigations? Read Post »
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 »
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 »
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 »
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 »
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 »
We look back on Enron and how their Code of Ethics was shelfware in a company described as having a ‘culture of arrogance’.
Enron and the Hubris of the “World’s Leading Energy Company” Read Post »
