Safety Culture

Review of “The impact of human factors on pilots’ safety behavior in offshore aviation – Brazil”

Accidents & Incidents, Helicopters, Human Factors / Performance, Offshore, Oil & Gas / IOGP / Energy, Regulation, Safety Culture, Safety Management

Research indicates intense commercial pressures, intolerable stress and fatigue, ‘schizophrenic’ simulator sessions and weaponizing of FDM, SMS and ‘fair culture boards’ in a “big brother reality show.” We review a recent paper published in Safety Science.

Review of “The impact of human factors on pilots’ safety behavior in offshore aviation – Brazil” Read Post »

SAR AW101 Roll-Over: Entry Into Service Involved “Persistently Elevated and Confusing Operational Risk”

Accidents & Incidents, Helicopters, Human Factors / Performance, Military / Defence, Regulation, Safety Culture, Safety Management, Special Mission Aircraft

Accident investigators say a SAR AW101 rolled over “during a period of persistently elevated and confusing operational risk” as the aircraft type was being introduced to military service in Norway.

SAR AW101 Roll-Over: Entry Into Service Involved “Persistently Elevated and Confusing Operational Risk” Read Post »

Loss of Control, Twice, by Offshore Helicopter off Nova Scotia

Accidents & Incidents, FDM / Data Recorders, Helicopters, Human Factors / Performance, Offshore, Oil & Gas / IOGP / Energy, Safety Culture, Safety Management

During the second go-around the crew started an impromptu visual approach when the ExxonMobil installation suddenly came into view. A high ROD at low airspeed developed in low-visibility. The helicopter avoided the sea by just 13 ft. A second loss of control occurred during the ascent.

Loss of Control, Twice, by Offshore Helicopter off Nova Scotia Read Post »

ATR 72 Rudder Travel Limitation Unit Incident: Latent Potential for Misassembly Meets Commercial Pressure

Accidents & Incidents, Fixed Wing, Human Factors / Performance, Maintenance / Continuing Airworthiness / CAMOs, Safety Culture, Safety Management

An ATR72 suffered an uncommanded yaw and roll as it accelerated through 185 knots. The cause was traced to misassembly during a prior maintenance check. A cam in the rudder Travel Limitation Unit could be reversed, and pressures during the check triggered that misassembly.

ATR 72 Rudder Travel Limitation Unit Incident: Latent Potential for Misassembly Meets Commercial Pressure Read Post »

B206B Hit by Truck in Forced Landing after 16 Months of Operation with Unairworthy Engine

Accidents & Incidents, Helicopters, Maintenance / Continuing Airworthiness / CAMOs, Regulation, Safety Culture, Safety Management

An engine overdue for overhaul was refitted and 16 months later failed. The operator was not approved for passenger transport but the company was in financial distress so the pilot and part-owner accepted this charter.

B206B Hit by Truck in Forced Landing after 16 Months of Operation with Unairworthy Engine Read Post »

Loss of Control During HESLO Construction Task: BEA Highlight Wellbeing / Personal Readiness

Accidents & Incidents, Helicopters, Human Factors / Performance, Logistics, Regulation, Safety Culture, Safety Management, Special Mission Aircraft

BEA were unable to establish the reason for Loss of Control in the hover. The pilot was suffering from an unreported back condition and the HESLO technique required an awkward body position. BEA make recommendations about wellbeing and personal readiness.

Loss of Control During HESLO Construction Task: BEA Highlight Wellbeing / Personal Readiness Read Post »

Latent Engine Defect Downs R44: NR Dropped to Zero During Autorotation

Accidents & Incidents, Helicopters, Human Factors / Performance, Maintenance / Continuing Airworthiness / CAMOs, Safety Culture, Safety Management, Survivability / Ditching

A confused response to an engine issue earlier in the day, a sudden power loss and a failed autorotation…but crashing into trees was decisive in the two occupants’ survival say NSIA.

Latent Engine Defect Downs R44: NR Dropped to Zero During Autorotation Read Post »

Investigators Suggest Cultural Indifference to Checklist Use a Factor in TAROM ATR42 Runway Excursion

Accidents & Incidents, Fixed Wing, Human Factors / Performance, Safety Culture, Safety Management

Failure to perform the Descent Check during the approach was a key factor for a loss of direction control after landing. This had “become a fairly common practice among crews”.

Investigators Suggest Cultural Indifference to Checklist Use a Factor in TAROM ATR42 Runway Excursion Read Post »

Fatal Falcon 50 Accident: Unairworthy with Unqualified Crew

Accidents & Incidents, Airfields / Heliports / Helidecks, Business Aviation, Fixed Wing, Maintenance / Continuing Airworthiness / CAMOs, Safety Culture, Safety Management

A US business jet was operating Part 135 flights with known unresolved maintenance discrepancies and an unqualified flight crew. Due to a brake failure and improper configuration it went off a 50 ft embankment killing the flight crew.

Fatal Falcon 50 Accident: Unairworthy with Unqualified Crew Read Post »

Survival Flight Fatal Accident: Air Ambulance Operator’s Poor Safety Culture

Accidents & Incidents, Helicopters, Human Factors / Performance, Regulation, Safety Culture, Safety Management, Special Mission Aircraft

A poor safety culture normalised rushed departure with inadequate preparation to do an air ambulance flight two other operators had turned down. The helicopter encountered snow and struck the ground during an Inadvertent IMC escape manoeuvre. Poor FAA oversight was contributory say NTSB.

Survival Flight Fatal Accident: Air Ambulance Operator’s Poor Safety Culture Read Post »

Survey Aircraft Fatal Accident: Fatigue, Fuel Mismanagement and Prior Concerns

Accidents & Incidents, Crises / Emergency Response / SAR, Fixed Wing, Human Factors / Performance, Safety Culture, Safety Management, Special Mission Aircraft, Survivability / Ditching

Concerns had been raised about the pilot and the operation just days before this fatal accident. It highlights the importance of doing a proper due diligence and having independent aviation expertise available when contracting for special mission support.

Survey Aircraft Fatal Accident: Fatigue, Fuel Mismanagement and Prior Concerns Read Post »

Meeting Your Waterloo: Competence Assessment and Remembering the Lessons of Past Accidents

Accidents & Incidents, Human Factors / Performance, Maintenance / Continuing Airworthiness / CAMOs, Safety Culture, Safety Management

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.

Meeting Your Waterloo: Competence Assessment and Remembering the Lessons of Past Accidents Read Post »

Inadequate Maintenance, An Engine Failure and Mishandling: Crash of a USAF WC-130H

Accidents & Incidents, Fixed Wing, Human Factors / Performance, Maintenance / Continuing Airworthiness / CAMOs, Military / Defence, Safety Culture, Safety Management

Botched engine maintenance trouble shooting preceded an engine failure on take off and aircraft mishandling that resulted in the loss of a C-130 and 9 personnel.

Inadequate Maintenance, An Engine Failure and Mishandling: Crash of a USAF WC-130H Read Post »

Low Viz Helicopter CFIT Accident, Alaska

Accidents & Incidents, Design & Certification, Helicopters, Human Factors / Performance, Maintenance / Continuing Airworthiness / CAMOs, Safety Culture, Safety Management

An AS350B2 impacted terrain after continuing visual flight into deteriorating IMC. The helicopter was configured with boxes to carry huskies, but their weight was not accounted for, so the aircraft was operating overweight.

Low Viz Helicopter CFIT Accident, Alaska Read Post »

Scroll to Top