EC120 Forgotten Walkaround
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 »
Fatal Engine Power Loss: Powerline Helicopter Not Modified IAW OEM Recommendations
We look at a fatal accident that demonstrates the criticality of assessing recommended service bulletins.
Fatal Engine Power Loss: Powerline Helicopter Not Modified IAW OEM Recommendations Read Post »
Swedish Military NOE Helicopter Bird Strike
During a low-level night training flight a Swedish Armed Forces Agusta 109LUH collided with a large bird. We look at the safety lessons.
Swedish Military NOE Helicopter Bird Strike Read Post »
NTSB Reveal Lax Maintenance Standards in Honolulu Tour Helicopter Accident
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 »
Fatal Fall From B429 During Helicopter Hoist Training
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 »
Lost in Translation: Misrigged Main Landing Gear
Erroneous translation of a CMM from English to French resulted in incorrect instructions being followed.
Lost in Translation: Misrigged Main Landing Gear Read Post »
Complacency: A Useful Concept in Safety Investigations?
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 »
Wasp Stung By Lack of Lubrication
This Wasp crashed out of control. The military Maintenance Schedule assumed 200FH pa and an MGB overhaul ever 600FH. This MGB was fitted for 429 hours over 20 years.
Wasp Stung By Lack of Lubrication Read Post »
Dispatcher Forced to Run After Distracted Pushback
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 »
RCAF Production Pressures Compromised Culture
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 »
Human Factors of Dash 8 Panel Loss
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 »
RJ85 Landed Alongside Runway Obscured by Dust
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 »
A320 Collided with Two De-Icing Trucks
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 »
Easyjet A319 Heavy Landing
The NLG shock-absorber cylinder was found buckled after a heavy landing when distractions and high workload likely contributed to a nose-down pitch input just before touchdown.
Easyjet A319 Heavy Landing Read Post »
Overworked Yuletide Loading Error
A loading incident during a busy-pre Christmas period highlights the effect of high workload on data input errors, as well as the importance of system feedback of incorrectly entered data.
Overworked Yuletide Loading Error Read Post »
A Railroad’s Cult of Compliance
We look at lessons in a NTSB rail accident report on how a cult of compliance and routine over-emphasis on judging front line workers can lead to disaster, lessons relevant to all industries.
A Railroad’s Cult of Compliance Read Post »
Tool Bag Takes Out Tail Rotor: Fatal AS350B2 Accident, Tweed, ON
TSB say four died when a tool bag came loose and struck the TR of a helicopter carrying workers of an electricity utility company who were unrestrained in the cabin.
Tool Bag Takes Out Tail Rotor: Fatal AS350B2 Accident, Tweed, ON Read Post »
Investigation into Secretive Surveillance Aircraft Accident in Malta 24 Oct 2016
A US registered SA227 AT Merlin IVC surveillance aircraft, chartered from a Luxembourg company by an unspecified French government agency had a fatal accident in Malta.
Investigation into Secretive Surveillance Aircraft Accident in Malta 24 Oct 2016 Read Post »
United Airlines Suffers from ED (Error Dysfunction)
A US airline shows a strange grasp of human factors principles and argues AGAINST a design change intended to address a long running series of maintenance errors.
United Airlines Suffers from ED (Error Dysfunction) Read Post »
Crossed Wires: Online Maintenance Human Factors Training Video
In need of inspiration for your maintenance human factor continuation training? Why not use this free CASA HF video?: ‘Crossed Wires’
Crossed Wires: Online Maintenance Human Factors Training Video Read Post »
Swedish NH90 CFIT: Pilot Experience and Skating on Frozen Lake
A crew with low experience on type had a lucky escape when they inadvertently descended and struck a frozen lake during an exercise in Norway.
Swedish NH90 CFIT: Pilot Experience and Skating on Frozen Lake Read Post »
Coking Causes Power Loss: Australian AS350BA
Coking in an oil jet resulted in a turbine shaft failure during a low level survey. The emergency landing was handled in a “competent and proficient manner” say ATSB.
Coking Causes Power Loss: Australian AS350BA Read Post »
Unexpected Load: B407 USL / External Cargo Accident in PNG
Miscommunication and poor ground crew briefing resulted in a long-line and load snagging on a B407 at take off causing a crash.
Unexpected Load: B407 USL / External Cargo Accident in PNG Read Post »
Running on Fumes: Fatal Canadian Helicopter Accident
The absence of a policy of landing with a specific minimum fuel quantity was a key factor in a survey helicopter’s loss of power and collision with trees near Whitecourt, AB in 2016.
Running on Fumes: Fatal Canadian Helicopter Accident Read Post »
Luxair F50 LOC-I Accident 6 November 2002
Cockpit confusion, a rushed approach, procedural deviations and a design flaw featured in a fatal turboprop LOC-I accident in Luxembourg in 2002.
Luxair F50 LOC-I Accident 6 November 2002 Read Post »