EASA is consulting on making 2 available, but not widely adopted, modifications mandatory in response to inadvertent operations of a hydraulic test switch that can result in Loss of Control – Inflight.
EASA Consult on Proposed AD on AS350B3 / H125 Hydraulics Read Post »
Time pressures, a maintenance error rigging flying control cables and a potentially non-compliant design conspired to cause a fatal PA-46 accident in the US in 2015.
Misrigged Flying Controls: Fatal Maintenance Check Flight Accident Read Post »
Engine maintenance practices at a component MRO resulted in the failure of a PW4056 compressor blade, fire and IFSD on a Delta 747.
‘Aggressive’ Grit Blasting Maintenance Leads to Engine Fire & IFSD Read Post »
Various factors conspired to mean a piston engined aircraft was incorrectly fuelled with Jet A1, resulting in a power loss just after take off. We look at this threat and the safety lessons.
The Wrong Fuel: Three Misfuelling Accidents Read Post »
Following an NTSB recommendation the NBAA has used FDM/FOQA data to look at how often critical Take Off checks are being missed and its almost 1 time in 5.
Business Aviation Compliance With Pre Take-off Flight Control Checks Read Post »
UK CAA issue their second update following the Feb 2014 CAP1145 report (‘Safety review of offshore public transport helicopter operations in support of the exploitation of oil and gas’).
UK CAA CAP1145: 2nd Update on North Sea Helicopter Safety (CAP1386) Read Post »
AAIB discuss the identification of flight control malfunctions in their report on a Saab 2000 LOC-I in Scotland.
AAIB: Human Factors and the Identification of Saab 2000 Flight Control Malfunctions Read Post »
The use of excessive reverse thrust resulted in loss of direction control, but noticeably there was a significant delay to the evacuation (which took 17 minutes to complete).
Delta MD-88 Accident at La Guardia 5 March 2015 Read Post »
A fatal in-flight break-up following damage during a prior landing shows the importance of not ‘pressing on’ after a more minor occurrence and resisting passenger pressures.
Final Report: AS365N3 9M-IGB Fatal Accident Read Post »
An EU aviation research project has recently investigated the concepts of organisational safety intelligence and executive safety wisdom by interviewing 16 senior industry executives.
Safety Intelligence & Safety Wisdom Read Post »
Aerossurance is pleased to support this Chartered Institute of Ergonomics & Human Factors event at East Midlands Airport, 7-8 November 2016.
Aerossurance Supports 2016 HF in Aviation Safety Conference Read Post »
TSB has issued their report into a fuel exhaustion accident involving Beechcraft King Air 100 in 2013. The accident highlights important human factors, competence and regulatory oversight issues.
Canadian KA100 Fuel Exhaustion Accident Read Post »
A US fatal accident with an ex-Korean Hawk, operated by a defence contractor, highlights some of the issues of civil use of ex-military aircraft.
Yuma Hawk Accident: Lessons on Ex-Military Aircraft Operation Read Post »
Cessna 550 (Citation Bravo) would not rotate during take-off and suffered a runway excursion. Classic cockpit human factors design lessons from ATSB.
Aborted Take Off with Brakes Partially On Results in Runway Excursion Read Post »
Loss of control – Inflight and a subsequent structural overload occurred during a night cargo flight according to a NTSB report released on 25 July 2016.
NTSB Report on Puerto Rico SA-227 Metro III LOC-I – 2 Dec 2013 Read Post »
Investigators uncovered mods, maintenance, training, W&B and briefing discrepancies. Highlights importance of mindful contracting for air services.
Fatal Flaws in Canadian Medevac Service Read Post »
The TSB has issued its report into an uncontained PW1524G engine failure during certification ground testing of the Bombardier CS100.
Uncontained PW1524G Failure During CS100 (A220) Certification Testing Read Post »
Carrier Arrestor System Maintenance Errors Eye watering video has emerged of a mishap on the US aircraft carrier USS Dwight D. Eisenhower (CVN 69) in the Atlantic on 18 March 2016. The 1½-inch-thick steel arrestor wire failed during the landing of a Northrop Grumman E-2C Hawkeye and during the go-around the E-2C drops out of sight below
Carrier Arrestor System Maintenance Errors Read Post »
Errant Notebook Sends Diving Ship Off-Station – HF in Design The Australian National Offshore Petroleum Safety and Environmental Management Authority (NOPSEMA) has recently published a safety alert on a serious incident to a Dynamic Position (DP) vessel that made an uncommanded movement during a diving operation that highlighted a significant design vulnerability. The Incident The vessel
Errant Notebook Sends Diving Ship Off-Station – HF in Design Read Post »
The operator had insufficient resources to effectively manage safety say TSB. The regulator had concerns but its approach did not ensure timely rectification.
HEMS Black Hole Accident: “Organisational, Regulatory and Oversight Deficiencies” Read Post »
Significant structural damage occurs when crew make opposing pitch inputs say ATSB. The damage is missed for 13 subsequent flights.
ATR72 In-Flight Pitch Disconnect and Structural Failure Read Post »
For Rotors Grease is the Word We look at two helicopter accidents (one fatal) where grease, and in particular the absence of grease, were critical factors. Case 1: AS355F1 N58020 15 September 2012, New Jersey (One Fatality) The National Transportation Safety Board (NTSB) report that, Airbus Helicopters AS355F1, N58020 operated by charter operator Analar Corporation was making a positioning flight
For Rotors Grease is the Word Read Post »
NTSB Report on C208B Caravan Ditching, Molokai, Hawaii, 2013 The US National Transportation Safety Board (NTSB) report on confusion over the applicable engine Instructions for Continued Airworthiness (ICA) and ditching procedures in a fatal 2013 accident in Hawaii. Cessna 208B Caravan N687MA, operated by Makani Kai Air, ditched off off Hawaii on 11 December 2013,
NTSB Report on C208B Caravan Ditching, Molokai, Hawaii, 2013 Read Post »
Rotor Blade Tool Control FOD Incident (Western Australia Police Air Wing Airbus AS365N3 VH-WPX) The Australian Transport Safety Bureau (ATSB) has just issued a report on an incident where a helicopter’s rotor blades were damaged during start up by Foreign Object Debris (FOD), namely a tool that had been left behind from earlier maintenance. The Incident Flight
Rotor Blade Tool Control FOD Incident Read Post »
UK AAIB: Boeing Safety Responses ‘Not Adequate’ Six months ago we published an article that discussed the UK Air Accidents Investigation Branch (AAIB) report into a serious incident involving a Boeing 747-443 G-VROM on 29 December 2014. AAIB has recently published an update on responses to their recommendations by Boeing. Two were classed ‘Not Adequate’, one ‘Partially Adequate’
UK AAIB: Boeing Safety Responses ‘Not Adequate’ Read Post »
