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Air Safety Through Investigation OCTOBER-DECEMBER 2018 Journal of the International Society of Air Safety Investigators 2018 Kapustin Helicopter Scholarship Essay: Accident Electric Air Taxis Passenger Brace The Impact of Trends in and the Adaptation Position in Using Data to Assess Hollywood on Eight ISASI of Air Safety Aircraft Accident Performance of Safety Accident A Trip to the Countries Investigators Investigations Management Investigation Land of Merlion page 4 page 13 page 16 page 20 page 24 page 27 CONTENTS Air Safety Through Investigation Journal of the International Society of Air Safety Investigators FEATURES Volume 51, Number 4 4 Helicopter Accident Trends in Eight ISASI Countries Publisher Frank Del Gandio By Robert Matthews, Former U.S. Federal Aviation Administration Senior Safety Analyst, Editorial Advisor Richard B. Stone Office of Accident Investigation; Rex Alexander, Safety Consultant; and Richard “Dick” Editor J. Gary DiNunno Stone, ISASI Executive Advisor—The authors review helicopter accident data to highlight Design Editor Jesica Ferry safety improvements, suggest ongoing problem areas, and make recommendations to con- Associate Editor Susan Fager tinue improving helicopter flight safety. ISASI Forum (ISSN 1088-8128) is published quar- 13 2018 Kapustin Scholarship Essay: Electric Air Taxis and the Adapta- terly by the International Society of Air Safety tion of Air Safety Investigators Investigators. Opinions expressed by authors do not necessarily represent official ISASI position By Nicolette R. Meyer, Embry–Riddle Aeronautical University—The author offers a or policy. preview of air traffic and air safety issues in the near future that accident investigators may face. This is the first of four 2018 Kapustin scholarship essays that will appear inISASI Editorial Offices: Park Center, 107 East Holly Ave- Forum. nue, Suite 11, Sterling, VA 20164-5405. Telephone 703-430-9668. Fax 703-430-4970. E-mail address, 16 Passenger Brace Position in Aircraft Accident Investigations [email protected]; for editor, jgdassociates@ By Jan M Davies, Professor, University of Calgary; Martin Maurino, Technical Officer, starpower.net. Internet website: www.isasi.org. Safety, Efficiency, and Operations, International Civil Aviation Organization; and Jenny ISASI Forum is not responsible for unsolicited manuscripts, photographs, or other materials. Yoo, Advisor to the Korea Aviation and Railway Accident Investigation Board and Cabin Unsolicited materials will be returned only if Safety Analysis Group Chair, Korea Transportation Safety Authority, on behalf of the submitted with a self-addressed, stamped enve- members of IBRACE—The authors studied 34 U.S. National Transportation Safety Board lope. ISASI Forum reserves the right to reject, accident reports from 1983 through 2015 and found that only five mentioned the brace delete, summarize, or edit for space con- position and only one included brace position recommendations. siderations any submitted article. To facilitate editorial production processes, American Eng- 20 Using Data to Assess Performance of Safety Management lish spelling of words is used. By Nektarios Karanikas, Associate Professor of Safety and Human Factors, Aviation Copyright © 2018—International Society of Air Academy, Faculty of Technology, Amsterdam University of Applied Sciences, Amsterdam, Safety Investigators, all rights reserved. Publica- the Netherlands—The author identifies positive and negative areas of safety management tion in any form is prohibited without permis- systems through analysis of data and discussions with organization staff. sion. ISASI Forum registered U.S. Patent and T.M. Office. Opinions expressed by authors do 24 The Impact of Hollywood on Accident Investigation not necessarily represent official ISASI position By Dr. Katherine A. Wilson, U.S. National Transportation Safety Board, and Darren Straker, or policy. Permission to reprint is available upon Chief Inspector of Air Accidents, Hong Kong Air Accident Investigation Authority—The application to the editorial offices. authors examine how movies and other media that portray air accident investigations can Publisher’s Editorial Profile: ISASI Forum is print- delve into fiction for the sake of drama. ed in the United States and published for profes- sional air safety investigators who are members 27 A Trip to the Land of Merlion of the International Society of Air Safety Inves- By Fasial Bashir Bhura, Squadron Leader, Pakistan Air Force, and Directing Staff at the tigators. Editorial content emphasizes accident College of Aviation Safety Management, PAF Base, Masoor—The author provides a personal investigation findings, investigative techniques account about attending a fellowship training program held at the Singapore Aviation and experiences, regulatory issues, industry ac- Academy. cident prevention developments, and ISASI and member involvement and information. Subscriptions: A subscription to members is pro- vided as a portion of dues. Rate for nonmem- DEPARTMENTS bers (domestic and Canada) is US$28; Rate for nonmember international is US$30. Rate for all 2 Contents libraries and schools is US$24. For subscription 3 President’s View information, call 703-430-9668. Additional or 28 News Roundup replacement ISASI Forum issues: Domestic and 30 ISASI Information Canada US$4; international member US$4; do- 32 Hong Kong Accident Investigation Authority Begins Operations mestic and Canada nonmember US$6; interna- tional nonmember US$8. ABOUT THE COVER The Hong Kong Air Accident Investigation Authority. INCORPORATED AUGUST 31, 1964 2 • October-December 2018 ISASI Forum PRESIDENT’S VIEW WITH JUST EIGHT MAJOR FATAL PASSENGER ACCIDENTS OCCURRING IN NEARLY THREE YEARS,…WE MIGHT FEEL AS THOUGH WE’VE ESSENTIALLY ACHIEVED OUR ULTIMATE AIR SAFETY GOALS—THAT NOT MUCH MORE CAN BE ACHIEVED. THE THEME OF THIS YEAR’S SEMINAR CHALLENGED SUCH COMPLACENT THINKING. FACING FUTURE INVESTIGATION CHALLENGES recently had the opportunity biggest international airlines in MENASASI planned a strong achieved our ultimate air safety to welcome ISASI members; the world, plus Etihad Airways, seminar. The theme of this goals—that not much more government, industry, and which is based in Abu Dhabi. year’s seminar was “The Future can be achieved. The theme of Icorporate air safety repre- Two large low-cost carriers also of Aircraft Accident Investi- this year’s seminar challenged sentatives; and students to our are based in the UAE: Air Ara- gation.” The theme was timely such complacent thinking. 49th annual ISASI seminar. Our bia, which is based in Sharjah, because aviation is undergoing I concluded with my usual annual international accident and Flydubai. In 1971, all of this fundamental changes—as will challenge to seminar partici- investigation and prevention was simply unimaginable. the nature and investigation pants: to be engaged, to conference has been hosted Our seminar host society of aviation accidents. Aviation recognize that everyone can multiple times in Asia, Austral- was the Middle East North has always been rapidly chang- still learn something, and to ia, Europe, and North America. Africa Society of Air Safety ing. Though lots of industries share knowledge freely with This year, ISASI added the Investigators (MENASASI). The have undergone rapid tech- our colleagues, especially with annual seminar’s footprint to rapid growth of MENASASI nological change, few have the younger professionals in yet another region of the world mimics the growth of the UAE. experienced the constant, attendance. I encouraged all with our first seminar in the The chapter was chartered major change for 115 years students and newer members Middle East. I was pleased to just more than five years ago that aviation has. The pace of of this community to take welcome seminar participants in August 2013. Yet in that change for aviation shows no advantage of the experience to Dubai and to the United short time, MENASASI has signs of slowing. and expertise present at the Arab Emirates (UAE). sponsored several regional The temptation might be to seminar. These same challeng- The changes that have seminars and has more than 40 rest on the successes that have es hold true for all of us even if occurred since the UAE was members. This level of activity made aviation incredibly safer we weren’t able to attend founded in 1971 have been and growth indicates the effort in recent years. I can tell you ISASI’s annual seminar. breathtaking. In 1971, the and leadership of people like from personal experience that entire UAE was home to just Ismaeil Al Hosani, the current not so long ago investigators 300,000 people. Today, the UAE president of MENASASI, and from countries with large, well has a population of about 9.5 Mohamed Aziz, the fromer established air safety investi- million, with two-thirds of the president of MENASASI. Al Ho- gation systems were seldom people living in Dubai and Abu sani is the founder and the man home because major air safety Dhabi. ISASI is here at least with the insight to organize the events occurred with a fre- partly because the UAE is now region. He was well supported quency that isn’t experienced among the most important by the other officers and board in the industry today. international aviation hubs, members of MENASASI. I sin- With just eight major fatal with major airports such as cerely express my thanks and passenger accidents occur- Al Maktoum International my respect to these gentlemen ring in nearly three years, Airport here in Dubai and and
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