Norwegian Survival Suits: Suited for Safety The Norwegian Petroleum Safety Agency (PSA), has published a piece on the history of survival suits in Norway in their latest Dialogue magazine. Amusingly their first illustration highlights a hazard unique to early survival suits that we discussed after the 2014 Oil & Gas UK annual aviation seminar, namely cigarette […]
Norwegian Survival Suits: Suited for Safety Read Post »
HeliOffshore Launch HUMS Best Practice Guide The offshore helicopter safety organisation, HeliOffshore, has today launched a Health & Usage Monitoring System (HUMS) Best Practice Guide to standardise and improve HUMS use worldwide. The main element of helicopter HUMS is Vibration Health Monitoring (VHM), designed to detect developing mechanical failures in safety critical transmission and rotor systems components.
HeliOffshore Launch HUMS Best Practice Guide Read Post »
When Down Is Up: 747 Actuator Installation Incident The UK Air Accidents Investigation Branch (AAIB) has published their report into a serious incident involving Boeing 747-443 G-VROM on 29 December 2014. History of the Flight The AAIB report that: The aircraft departed from London Gatwick Airport for a scheduled flight to Las Vegas. Following retraction of the
When Down Is Up: 747 Actuator Installation Incident Read Post »
Regulation (EU) 376/2014: Reporting, Analysis and Follow-up of Occurrences in Civil Aviation On 15 November 2015, a new European Union wide aviation reporting regulation came into force. The European Commission has created a safety reporting portal. Previously Mandatory Occurrence Reporting (MOR) was effectively regulated by a Directive 2003/42/EC to each nation to create compatible national regulation. That directive is
AC-130J Prototype Written-Off After Flight Test LOC-I Overstress The prototype US Air Force (USAF) AC-130J Ghostrider, 09-5710, has been declared a total loss after the airframe was “severely overstressed” after a Loss of Control – Inflight (LOC-I) during a flight test from Eglin AFB, Florida on 21 April 2015. Loss of the aircraft is estimated at $115.6 million. The Occurrence The
AC-130J Prototype Written-Off After Flight Test LOC-I Overstress Read Post »
CHIRP Critical of an Oil Company’s Commercial Practices The CHIRP Charitable Trust, who run the UK’s Confidential Human Factors Incident Reporting Programme (CHIRP), has highlighted two “of the many” reports received relating to an oil company changing its North Sea helicopter operator for the second time in three years. CHIRP do not name the oil company.
CHIRP Critical of an Oil Company’s Commercial Practices Read Post »
Micro FOD: Cessna 208B Grand Caravan Engine Failure & Forced Landing We often think of FOD, Foreign Object Damage, as something caused by a carelessly discarded piece of waste or forgotten nut or bolt. The recently issued US National Transportation Safety Board (NTSB) report on a Cessna 208B Grand Caravan accident in Hawaii however describes a ‘micro FOD’ accident
Micro FOD: Cessna 208B Grand Caravan Engine Failure & Forced Landing Read Post »
We look at how people really learn. Formal pre-fab classroom training is the least effective method. So why do we do waste so much time and money on the ‘Great Training Robbery’? We show there is a better way: 70:20:10.
Coaching and the 70:20:10 Learning Model – Beyond Training Read Post »
ATP Serious Incident – Temporary LOC In Icing Conditions The Accident Investigation Board Norway (AIBN) has issued their report into a serious incident where West Air Sweden BAE Systems ATP cargo aircraft SE-MAF suffered control problems while en route on 25 September 2014. Coincidentally, their report was issued on the eve of the 21st Anniversary of the Roselawn ATR
ATP Serious Incident – Temporary LOC In Icing Conditions Read Post »
HeliOffshore Progress One Year On We first reported on the plan to create HeliOffshore in June 2014. HeliOffshore was formally launched on 21 October 2014 in London and held its first AGM and conference in Lisbon in May 2015. When membership was opened up beyond helicopter operators in January 2015, Aerossurance is pleased to have been one
HeliOffshore Progress One Year On Read Post »
UK CAA Performance Based Regulation (PBR) Stakeholder Engagement (CAP1345) We have previously written about the emerging concept of performance based regulation (PBR) and discussed some of the challenges to overcome. This week the UK Civil Aviation Authority (CAA) have issued a consultation document on PBR: CAP1345: Performance Based Regulation: Business Engagement Assessment In the document the CAA
UK CAA PBR Stakeholder Engagement (CAP1345) Read Post »
Another US business jet accident highlights poor checklist use and SMS ‘shelfware’ according to the BEA report into the 2012 accident.
Fatal G-IV Runway Excursion Accident in France – Lessons Read Post »
AAIB: The helicopter was operated for a “sustained period” with the fuel transfer pumps off despite low fuel warnings being triggered and acknowledged.
AAIB Report on Glasgow Police EC135T2+ Clutha Helicopter Accident Read Post »
Misloading Caused Fatal 2013 DHC-3 Otter Accident The US National Transportation Safety Board (NTSB) investigation into a fatal accident to Rediske Air de Havilland DHC-3T Otter N93PC in Soldotna, Alaska on 7 July 2013, has determined it was caused by misloading. A passenger iPhone video of the aircraft’s take-off was recovered from the wreckage and analysed. The full report can be
Misloading Caused Fatal 2013 DHC-3 Otter Accident Read Post »
EASA Annual Safety Review 2014 Published The European Aviation Safety Agency (EASA) Annual Safety Review for 2014 is now available at: https://www.easa.europa.eu/newsroom-and-events/general-publications/annual-safety-review-2014 Worldwide in 2014, 16 fatal accidents involved Commercial Air Transport (CAT) aeroplanes (excluding MH17, that was considered to be a hostile act). This was two more than 2014, but still significantly below the average number of fatal accidents
EASA Annual Safety Review 2014 Published Read Post »
Aircraft Maintenance: Going for Gold? We pose the question: Can aviation maintenance learn lessons from championship athletes? Aerossurance is pleased to have sponsored the Royal Aeronautical Society (RAeS) conference Human Factors in Engineering – the Next Generation at Cranfield University on 12 May 2015. In his opening address Cranfield University’s Professor Dave King (a former Chief Inspector of Air Accidents with
Aircraft Maintenance: Going for Gold? Read Post »
Fatal Night-time UK AW139 Accident Highlights Business Aviation Safety Lessons The UK Air Accidents Investigation Branch (AAIB) has published their report into the fatal accident to AgustaWestland AW139 G-LBAL on 13 March 2014. This accident reinforces many important past lessons on business aviation safety, managing clients, training, human factors and learning from previous accidents. The helicopter, owned by Haughey Air, departed from a
Fatal Night-time UK AW139 Accident Highlights Business Aviation Safety Lessons Read Post »
BA Changes Briefings, Simulator Training and Chart Provider After B747 Accident According to a recently released UK Civil Aviation Authority (UK CAA) FACTOR (Follow-up ACTion on Occurrence Report), British Airways (BA) have enhanced their simulator training and changed chart provider in response to a ground accident in South Africa. The Accident On 22 December 2013, BA G-BNLL sustained substantial
BA Changes Briefings, Simulator Training and Chart Provider After B747 Accident Read Post »
An NTSB report on an EC130 helicopter wirestrike accident that illustrates the need fully plan and risk assess last minute changes in plan.
Beware Last Minute Changes in Plan Read Post »
Misfuelling Accidents Misfuelling aircraft with kerosene based Jet A-1 rather than Aviation Gasoline (AVGAS) continues to be a source of accidents. PA31 15 Sept 2015 Manitoba The Canadian Transportation Safety Board (TSB) has recently released an update on the 15 September 2015 accident involving twin engined Keystone Air Service Piper PA31-350 Navajo C-FXLO at Thompson, Manitoba. Shortly after takeoff the aircraft experienced a
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Aerossurance Sponsors Human Factors in Aviation Safety Conference Aerossurance is pleased to sponsor the Chartered Institute of Ergonomics & Human Factors’ (CIEHF) Human Factors in Aviation Safety Conference that takes place at the Radison Blu Hotel, East Midlands Airport, 9-10 November 2015. Aerossurance was keen to sponsor this event as it is such an excellent independent professional
Aerossurance Sponsors HF in Aviation Safety Conference Read Post »
Critical Maintenance Tasks: EASA Part -M & -145 Change Commission Regulation (EU) 2015/1536 was issued on of 16 September 2015. Technically it amends Regulation (EU) No 1321/2014 “as regards alignment of rules for continuing airworthiness with the ‘Basic Regulation’ Regulation (EC) No 216/2008“. Critical Maintenance Tasks (CMTs) One of the most important parts of the amendment relates to CMTs, which
Critical Maintenance Tasks: EASA Part-M & -145 Change Read Post »
This dual engine incident highlights maintenance fatigue and Management of Change at both a macro level (corporate restructuring) and the micro level (a new task).
The Missing Igniters: Fatigue & Management of Change Shortcomings Read Post »
The failure of a GE GEnx engine shaft on an Air India Boeing 787 during engine runs at the factory in 2012.
B787 GEnx Fan Shaft Failure Read Post »
Fatal G-IV runway excursion: take off with gust lock engaged. Contributing: habitual noncompliance and inadequate certification.
Gulfstream G-IV Take Off Accident & Human Factors Read Post »
