Safety lessons from a disturbing unstabilised approach accident that begs serious questions of the operator’s procedures and culture.
Execuflight Hawker 700 N237WR Akron Accident: Casual Compliance Read Post »
Despite poor visibility the crew of an executive helicopter pressed on and collided with a 39 storey building in Seoul. We look at the safety lessons.
CFIT Gangnam Style – Korean S-76C++ and Decision Making Read Post »
This document has been collaboratively written by IATA, CANSO, IFATCA and IFALPA, to address the problems surrounding unstable approaches.
IATA Unstable Approaches, Risk Mitigation Policies, Procedures and Best Practices Read Post »
A China Eastern A330 crossed in front of a China Eastern A320 taking off. CAAC report the separation was just 19m vertical and 13m horizontal and have issued a reconstruction video.
High Potential Runway Incursion at Shanghai 11 Oct 2016 Read Post »
AAIB comment on deficient task cards, operator tech pubs, shift handovers and distraction leading to a maintenance error.
B747 Landing Gear Failure Due to Omission of Rig Pin During Maintenance Read Post »
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 »
