JULY-SEPTEMBER 2017 Journal of the International Society of Air Safety Investigators

Total Page:16

File Type:pdf, Size:1020Kb

JULY-SEPTEMBER 2017 Journal of the International Society of Air Safety Investigators Air Safety Through Investigation JULY-SEPTEMBER 2017 Journal of the International Society of Air Safety Investigators Commentary—Air Transport Safety Issues Persist—page 4 Organizing the MH17 Crash Investigation—page 6 Linking State Safety Oversight Agencies—page 15 Aircraft Controllability and Primary Flight Displays—page 18 CONTENTS Air Safety Through Investigation Journal of the International Society of Air Safety Investigators Volume 50, Number 3 Publisher Frank Del Gandio Editorial Advisor Richard B. Stone Editor J. Gary DiNunno Design Editor Jesica Ferry Associate Editor Susan Fager ISASI Forum (ISSN 1088-8128) is published quar- terly by the International Society of Air Safety FEATURES Investigators. Opinions expressed by authors do not necessarily represent official ISASI position 4 Commentary—Air Transport Safety Issues Persist or policy. By Kathy Fox, Chair, Transportation Safety Board of Canada—Despite many successful Editorial Offices: Park Center, 107 East Holly efforts to improve air safety in Canada, the author notes the Canadian TSB has some stub- Avenue, Suite 11, Sterling, VA 20164-5405. Tele- born issues remaining on its WatchList that reoccur in investigation after investigation. phone 703-430-9668. Fax 703-430-4970. E-mail address, [email protected]; for editor, espmart@ 6 Organizing the MH17 Crash Investigation comcast.net. Internet website: www.isasi.org. ISASI Forum is not responsible for unsolicited By Kas E. Beumkes, Senior Investigator/Project Manager, the Dutch Safety Board—The manuscripts, photographs, or other materials. author discusses how and why the MH17 crash investigation was organized and looks Unsolicited materials will be returned only if at how all the different interested parties and exceptional circumstances influenced the submitted with a self-addressed, stamped enve- investigative process. He looks at some of the complex procedures and reports investigators lope. ISASI Forum reserves the right to reject, incorporated into their work to ultimately obtain accurate and independent findings. delete, summarize, or edit for space con- siderations any submitted article. To facilitate 15 Linking State Safety Oversight Agencies editorial production processes, American Eng- By Jeff Guzzetti, Acting Deputy Director, Office of Accident Investigation and Preven- lish spelling of words is used. tion, the FAA—The author examines the importance of cooperation among state air safety Copyright © 2017—International Society of Air agencies that might otherwise rebel against interrelationships under a false premise that Safety Investigators, all rights reserved. Publica- working together is a conflict of interest. He suggests such agencies should find ways to link tion in any form is prohibited without permis- their efforts to accelerate safety improvements in aviation. sion. ISASI Forum registered U.S. Patent and T.M. Office. Opinions expressed by authors do 18 Aircraft Controllability and Primary Flight Displays not necessarily represent official ISASI position or policy. Permission to reprint is available upon By Knut Lande, General Manager/Flight Safety Advisor, LandAvia Ltd.—Although global application to the editorial offices. air accident statistics have improved over the last 50 years, the author suggests loss of control in flight accidents remain a serious issue. He suggests that current accident reports do not Publisher’s Editorial Profile: ISASI Forum is print- address the reasons for pilots losing control, and calling for more pilot training is not the an- ed in the United States and published for profes- swer. The answer, he notes, may be to make primary flight displays more intuitive and easier sional air safety investigators who are members to read. of the International Society of Air Safety Inves- tigators. Editorial content emphasizes accident investigation findings, investigative techniques and experiences, regulatory issues, industry ac- cident prevention developments, and ISASI and DEPARTMENTS member involvement and information. 2 Contents 3 President’s View—ISASI Members Do Make a Difference Subscriptions: A subscription to members is pro- vided as a portion of dues. Rate for nonmem- 28 News Roundup bers (domestic and Canada) is US$28; Rate for 30 ISASI Information nonmember international is US$30. Rate for all 32 Who’s Who—The Air Line Pilots Association libraries and schools is US$24. For subscription information, call 703-430-9668. Additional or replacement ISASI Forum issues: Domestic and Canada US$4; international member US$4; do- mestic and Canada nonmember US$6; interna- ABOUT THE COVER tional nonmember US$8. Ron Smits, left, of the Dutch Safety Board directs recovery of MH17 aircraft parts at one of the crash debris sites in the Ukraine. MH17 aircraft parts, scat- tered over several sites, were later reassembled in a hanger for investigation into probable causes. Photo: The Dutch Safety Board INCORPORATED AUGUST 31, 1964 2 • July-September 2017 ISASI Forum PRESIDENT’S VIEW ISASI MEMBERS DO MAKE A DIFFERENCE few weeks after you receive this A day prior to the official seminar day this group will go to La Jolla, north of issue of the ISASI Forum, several opening, tutorials for civil air safe- San Diego, for lunch and shopping. After hundred delegates and partic- ty investigators taking place in the the seminar concludes, there is an option- Aipants from all over the world morning, will cover differences between al all-day tour for all participants to the will gather in San Diego, California, on flight data and voice recorder practices San Diego Zoo. August 22–24 for ISASI 2017, the Socie- and in the afternoon will take a look When ISASI 2017 comes to a close and ty’s 48th annual international accident at improvements in cabin safety and we travel back to our homes and jobs investigation and prevention conference. aircraft manufacturing that have led to as air safety investigators and safety The theme for this year’s gathering is “Do increased survivability rates for occu- professionals, there will be no question in Accident Investigations Really Make a pants involved in air accidents. Military our minds that we do make a difference— Difference?” accident investigators will participate what we do makes a difference. Our work ISASI members know the answer to in an all-day session to share knowledge is never done. Successful safety efforts that question, but sometimes it seems and to develop relationships among col- are often hard to quantify in dollars that governments and aviation industry leagues from many parts of the world. and cents, but the cost to do otherwise entities and individuals are confused After day-long technical briefings, about how to best use our investigation there will be time for national society is too dreadful to imagine. Our efforts findings and safety recommendations to business meetings and a chance for ISA- have saved countless lives and mitigat- make aviation safer—on a global, region- SI working groups to meet face-to-face ed the seriousness of countless injuries al, and local scale. In the commentary on to discuss project developments. for crews and passengers of civilian and page 4 of this issue, Kathy Fox, chair of Of course, not all seminar partic- military aircraft involved in incidents and the Transportation Safety Board of Can- ipants’ time will entail formal work accidents. That such events have less- ada, says her agency has had several key discussions and technical presenta- ened in recent years and that the severity items on its Watchlist that have remained tions. There is time for networking with of those that have occurred has been for a long period. The U.S. National Trans- investigators and air safety professionals reduced are evidence that we do make a portation Safety Board (NTSB) doesn’t from many countries who can pass on difference. Are we proud of our accom- new ideas plishments? Certainly. But that makes us WHEN ISASI 2017 COMES TO A CLOSE,… and different more resolved to continue, to improve, to THERE WILL BE NO QUESTION IN OUR MINDS approaches push on—to improve air safety through and who have investigation. THAT WE DO MAKE A DIFFERENCE. air safety I hope to see many long-time friends in expertise in San Diego and to meet many new ones, keep an official watch list as such, but areas that demand to be shared. This too. Our Society requires the constant there are also standing recommendations “unofficial” networking opportunity addition of new, younger investigators for safety measures that have been on is almost more important and useful and safety professionals who are thirsty its agenda for a long time. The seminar’s than the technical side of the seminar. for the knowledge and expertise many of theme of making a difference will weave There are planned dinners and informal us have gained over the years. In that in and out of all the technical presenta- lunches during which hangar talk and regard, ISASI tions. The papers will, of course, be stories hold sway. On Tuesday night, we 2017 is a posted on our website in full and pub- go offsite for dinner at the San Diego Air perfect time lished in edited form in the Forum and Space Museum, and on Thursday and place for throughout the next year. evening we have the ISASI reception and each of us ISASI 2017 participants will also hear awards banquet. from keynote speaker Robert Sumwalt, Companions to seminar participants who have air NTSB vice chairman and ISASI member; will be able to enjoy a ride along the safety each of the 2017 Kapustin Scholarship San Diego Bay in an amphibious SEAL experience to winners, who will present their winning vehicle with a guide providing a history prepare a essays; and an ISASI member given the of the U.S. military facilities in the city solid founda- Jerry Lederer Award—the Society’s high- and then a chance to visit Old Town San tion for the Frank Del Gandio est honor for lifetime achievement in air Diego to explore the city’s heritage in Society’s safety investigation.
Recommended publications
  • International Review of Road Collision Investigation Approaches
    Mobility • Safety • Economy • Environment International Review of Road Collision Investigation Approaches Saul Jeavons and Adrian Runacres The Transafe Network Ltd December 2020 The Royal Automobile Club Foundation for Motoring Ltd is a transport policy and research organisation which explores the economic, mobility, safety and environmental issues relating to roads and their users. The Foundation publishes independent and authoritative research with which it promotes informed debate and advocates policy in the interest of the responsible motorist. RAC Foundation 89–91 Pall Mall London SW1Y 5HS Tel no: 020 7747 3445 www.racfoundation.org Registered Charity No. 1002705 December 2020 © Copyright Royal Automobile Club Foundation for Motoring Ltd Mobility • Safety • Economy • Environment International Review of Road Collision Investigation Approaches Saul Jeavons and Adrian Runacres The Transafe Network Ltd December 2020 About the Authors Saul Jeavons is Director of The Transafe Network Ltd. Saul is a transport risk management specialist who takes a multidisciplinary approach to road safety problems. He was formerly the Head of Investigations and Risk Management at the UK’s Transport Research Laboratory (TRL), where his role included responsibility for road safety, collision investigation, and fleet safety teams, as well as on-scene management of rail crash incident teams. He sat on the National Level Crossing Safety Group and oversaw TRL’s multi-disciplinary input into the Ufton Nervet rail crash (2004). Saul has undertaken road safety projects for major private sector, multinational clients including BP, Shell, and ExxonMobil, as well as for government departments and other public bodies in the UK and overseas. He has worked on projects in more than 30 countries in Europe, Africa, the Middle East, Far East, Central and South East Asia, North and South America, and Australasia.
    [Show full text]
  • Final Report Boeing 747-412F TC-MCL 1
    Final Report Boeing 747-412F TC-MCL 1 This document is an English translation of the Final Report on the fatal accident involving the Boeing 747-412F aircraft registered TC-MCL that occurred on January 16th, 2017 at Manas International Airport, Bishkek, Kyrgyz Republic. The translation was done as accurate as a translation may be to facilitate the understanding of the Final Report for non-Russian-speaking people. The use of this translation for any purpose other than for the prevention of future accidents could lead to erroneous interpretations. In case of any inconsistence or misunderstanding, the original text in Russian shall be used as the work of reference. INTERSTATE AVIATION COMMITTEE AIR ACCIDENT INVESTIGATION COMMISSION FINAL REPORT ON RESULTS OF THE AIR ACCIDENT INVESTIGATION Type of occurrence Fatal accident Type of aircraft Boeing 747-412F Registration mark TC-MCL Owner LCI Freighters One Limited (Ireland) Operator ACT Airlines Aviation Authority Directorate General of Civil Aviation of Turkey (Turkish DGCA) Place of occurrence Near Manas International Airport, Bishkek, Kyrgyz Republic, coordinates: N 43°03.248' E 074°2.271' Date and time 16.01.2017, 07:17 local time (01:17 UTC), night time INTERSTATE AVIATION COMMITTEE Final Report Boeing 747-412F TC-MCL 2 1. FACTUAL INFORMATION ..................................................................................................................... 10 1.1. HISTORY OF FLIGHT ...................................................................................................................................
    [Show full text]
  • Preliminary Report Crash Involving Malaysia Airlines Boeing 777-200 Flight MH17 Hrabove, Ukraine - 17 July 2014
    DUTCH SAFETY BOARD Preliminary report Crash involving Malaysia Airlines Boeing 777-200 flight MH17 Hrabove, Ukraine - 17 July 2014 1 van 34 Preliminary report Crash involving Malaysia Airlines Boeing 777-200 flight MH17 Hrabove, Ukraine - 17 July 2014 The Hague, September 2014 The reports issued by the Dutch Safety Board are open to the public. All reports are available on the Safety Board’s website www.safetyboard.nl 2 van 34 PRELIMINARY REPORT The International Civil Aviation Organization (ICAO), is a specialized agency of the United Nations, created in 1944 upon the signing of the Convention on International Civil Aviation. ICAO works with 191 Member States to develop international Standards and Recommended Practices (SARPs) for safe, efficient and secure flight operation worldwide. These Standards and Recommended Practices are reflected in Annexes. In Annex 13 - Aircraft Accident and Incident Investigation - to the Convention of International Civil Aviation, Standards and Recommended practices are described for the conducting of civil aviation accident investigation. In accordance with paragraph 3.1 of ICAO Annex 13, the sole objective of this investigation is the prevention of similar accidents and incidents. It is not the purpose of this activity to apportion blame or liability in respect of any party. The State of Occurrence shall institute an investigation into the circumstances of the accident and be responsible for the conduct of the investigation, but it may delegate the whole or any part of the conducting of such investigation to another State by mutual arrangement and consent (paragraph 5.1). In the case of this occurrence, Ukraine requested the Netherlands to conduct the delegated investigation.
    [Show full text]
  • Annual Safety Recommendations Review 2020 Catalogue Number TO-AE-21-001-EN-N
    Strategy & Safety Management Directorate Safety Intelligence & Performance Department Annual Safety Recommendations Review 2020 Catalogue number TO-AE-21-001-EN-N ISBN 978-92-9210-223-4 ISSN 2599-7793 DOI 10.2822/126012 Strategy & Safety Management Directorate Safety Intelligence & Performance Department Annual Safety Recommendations Review 2020 Disclaimer: The Annual Safety Recommendations Review is produced by the European Union Aviation Safety Agency (EASA). This edition provides an overview of the safety recommendations that have been addressed to EASA in 2020. It also presents the replies produced during the year. This annual review aims at providing feedback on the follow-up given to safety recommendations in the context of openness, transparency and accountability that characterises European Public Administration. Apart from its safety-related informative character, this review is also expected to provide relevant information related to safety concerns raised, for both EASA and its stakeholders, including the European public. Neither the European Union Aviation Safety Agency, nor any person acting on behalf of the European Union Aviation Safety Agency may be held responsible for the use that might be made of the information contained within. Image credits iStock © European Union Aviation Safety Agency, 2020. All rights reserved. Proprietary document. Printed copies are not controlled. Confirm revision status through the EASA-Internet site: www.easa.europa.eu. 2020 Annual Safety Recommendations Review Contents 2020 Annual Safety
    [Show full text]
  • Turkish Airlines
    Crashed during approaCh, Boeing 737-800, near amsterdam sChiphol airport, 25 February 2009 The Hague, May 2010 (project number M2009LV0225_01) The reports of the Dutch Safety Board are available to the public. All reports are also available on the website of the Dutch Safety Board www.safetyboard.nl the dutCh saFetY Board The Dutch Safety Board was established to investigate and determine the causes or probable causes of individual incidents or categories of incidents in all sectors. The sole purpose of a Dutch Safety Board investigation is to prevent future accidents or incidents and, if outcomes give cause to do so, issue associated recommendations. The organisation consists of a board with five perma- nent members, a professional Bureau manned by investigators and support staff and a number of permanent committees. Guidance committees are set up to oversee specific investigations. Board advisory Committee Chairman: Prof. Pieter van Vollenhoven Chairman: J.A. Hulsenbek Vice chairman J.A. Hulsenbek Prof. F.J.H. Mertens Annie Brouwer-Korf E.J. Burmeister Prof. F.J.H. Mertens J. Marijnen J.P. Visser Prof. J.A. Mulder H. Munniks de Jongh Luchsinger J.G.W. van Ruitenbeek General M. Visser Secretary: Project leader: J.W. Selles Visitors Anna van Saksenlaan 50 Correspondence P.O. Box 95404 address: 2593 HT Den Haag address: 2509 CK Den Haag Telephone: +31 (0)70 333 7000 Fax: +31 (0)70 333 7077 Internet: www.safetyboard.nl This report is published in the Dutch and English languages. In the event of conflict in interpretation, the Dutch text will be deemed binding.
    [Show full text]
  • Air Safety Through Investigation JULY-SEPTEMBER 2018 Journal of the International Society of Air Safety Investigators
    Air Safety Through Investigation JULY-SEPTEMBER 2018 Journal of the International Society of Air Safety Investigators Analysis Techniques for Investigating Human Performance page 4 Airbus Support to Accident Investigation page 12 ISASI Kapustin Scholarship Essay— Accident Reports and Aeronautical Decision- Making: Applying Case- Based Reasoning to Improve GA Safety page 16 The Role of Investigations in Creating and Implementing Safety Nets: Minding the Gap page 19 Investigations, Recommendations, and Safety Management Systems page 22 CONTENTS Air Safety Through Investigation Journal of the International Society of Air Safety Investigators FEATURES Volume 51, Number 3 Publisher Frank Del Gandio 4 Analysis Techniques for Investigating Human Performance Editorial Advisor Richard B. Stone By Randy Mumaw, Researcher, NASA Ames Research Center; William Bramble, Senior Editor J. Gary DiNunno Human Performance Investigator, NTSB; Joel Morley, Former Senior Human Factors Design Editor Jesica Ferry Investigator, Transportation Safety Board of Canada; and Fanny Rome, Human Factors Associate Editor Susan Fager Safety Investigator, BEA—The authors examine human performance factors as one of many contributors to air accidents and incidents and that they can be shaped by contextual ISASI Forum (ISSN 1088-8128) is published quar- and system factors. terly by the International Society of Air Safety Investigators. Opinions expressed by authors do 12 Airbus Support to Accident Investigation not necessarily represent official ISASI position By Nicolas Bardou, Director of Flight Safety, Airbus—The author outlines support Airbus or policy. provided during investigation of the crash and lo.ss on Oct. 31, 2015, of an A321 flying from Editorial Offices: Park Center, 107 East Holly Ave- Sham El-Sheikh, Egypt, to St.
    [Show full text]
  • Report Sl 2010/18
    Issued December 2010 REPORT SL 2010/18 REPORT ON SERIOUS AIRCRAFT INCIDENT AT OSLO AIRPORT GARDERMOEN 25 FEBRUARY 2010 INVOLVING AIRBUS A320-214 VP-BWM, OPERATED BY AEROFLOT RUSSIAN AIRLINES Accident Investigation Board Norway • P.O. Box 213, N-2001 Lillestrøm, Norway • Phone: + 47 63 89 63 00 • Fax: + 47 63 89 63 01 www.aibn.no • [email protected] This report has been translated into English and published by the AIBN to facilitate access by international readers. As accurate as the translation might be, the original Norwegian text takes precedence as the report of reference. The Accident Investigation Board has compiled this report for the sole purpose of improving flight safety. The object of any investigation is to identify faults or discrepancies which may endanger flight safety, whether or not these are causal factors in the accident, and to make safety recommendations. It is not the Board’s task to apportion blame or liability. Use of this report for any other purpose than for flight safety should be avoided. Photos: AIBN and Trond Isaksen/OSL Accident Investigation Board Norway (AIBN) Page 2 CONTENTS NOTIFICATION OF THE INCIDENT ............................................................................................... 3 SUMMARY ......................................................................................................................................... 3 1. FACTUAL INFORMATION .............................................................................................. 4 1.1 History of the flight .............................................................................................................
    [Show full text]
  • Delegate List
    Delegate List Ismaeil Abdul Wahed Nuno Aghdassi Asst Director General of Air Acc Inv Head of Flight Safety Civil Aviation Authority NetJets Europe United Arab Emirates Portugal Alain Agnesetti Thorkell Agustsson Senior Safety Investigator Chief investigator BEA RNSA France Iceland Syed Ahmed Anders Akerberg Engineer Chief Investigator SASI Pakistan SAS Pakistan Sweden Khalid Al Raisi Abdulrahman AlJuhani Director Air Accident Investigation Manager DG Office (A) GCAA AIB United Arab Emirates Saudi Arabia Mohammed Alromaih Jan Andersson pilot Manager Flight Safey NON Saab AB Saudi Arabia Sweden Ulf Andersson Lori Anglin Air Safety Investigator Accident Investigator Saab AB Boeing Commercial Airplanes Sweden United States Thomas Anthony Patricia Anthony USC United States United States Klaus Ardey Yoshiaki Asako President AVICON Mitsubishi Heavy Industries Germany United States Andrew Averna Mohammed Aziz Senior Air Safety Investigator Advisor to Chairman JetBlue Airways MEA United States United States Chad Balentine Charity Balentine ISASI International Secretary Air Line Pilots Association United States United States Suresh Bangar Elizabeth Bates Flight Operations Director AirAsia X Malaysia Canada Ahmed Bazaid Damien Bellier Phd Student Head of Safety Investigations Department Cranfield University BEA United Kingdom France Anders Bergstrand Christian Bernhardt Aircraft Accident Investigator Saab AB Airbus Helicopters Sweden Germany Andreas Betzoll Neil Bishop Director Safety Dep Hd Uk MilAAIB Pilatus Aircraft Ltd UK Defence Safety Authority Switzerland United Kingdom Graham Braithwaite James Brocksmith Professor and Head of Transport Systems Safety Pilot Cranfield University The Boeing Company United Kingdom United States Virginia Brocksmith Jill Browning Sikorsky United States United States Jan Bruggeman Martin Brussaard Business Developer Chairman Accident Investigation Group - VNV TNO Dutch ALPA Netherlands VNV Dutch ALPA Netherlands Alister Buckingham Sheryn Buckingham President NZSASI NZSASI New Zealand New Zealand Michael Buran Birger A.
    [Show full text]
  • Prelimenary Report by the Dutch Aviation Safety Board on the Turkish Airline Accident at Amsterdam
    PRELIMINARY REPORT Classification: Accident Aircraft type and registration: Boeing 737-800, TC-JGE Number and type of engines: 2 CFM-56-7B26 turbofan engines Year of manufacture: 2002 Date and time:1 25 February 2009, 10.26 hrs Location: 1,5 km North of runway 18R “Polderbaan” Amsterdam Airport Schiphol Type of flight: Commercial air transport (passengers) Occupants: crew - 7 passengers - 128 Fatalities: crew - 4 passengers - 5 Injuries: crew - 3 passengers - 83 Nature of damage: Aircraft destroyed Information source: Dutch Safety Board 1 Unless stated otherwise all times in this report are local times This preliminary report contains facts which have been determined up to the time of issue. This information concerns the circumstances surrounding this accident and must necessarily be regarded as tentative and subject to alteration or correction if additional information becomes available. The investigation On February 25th around 11.00 hrs The Dutch Safety Board was notified that a Boeing 737-800 of Turkish Airlines had crashed near the Polderbaan (runway 18R) of Amsterdam Airport Schiphol at 10.26 hrs.2 The investigation commenced immediately. According to international agreements and guidelines (especially those within the European Union and the International Civil Aviation Organization) contact was made with the States involved, in this case Turkey as the State of registration and State of the operator, the Unite d States of America as the State where the airplane was manufactured, and France as the State where the engines were manufactured. All parties and organisations concerned being the Turkish Directorate General for Civil Aviation, the Dutch Transport and Water Management Inspectorate , the United States National Transportation Safety Board, the aircraft operator, the aircraft manufacturer and the engine manufacturer have subsequently contacted the Safety Board.
    [Show full text]
  • Safe Flight Routes Responses to Escalating Conflicts 2021 Report Safe Flight Routes Responses to Escalating Conflicts 2021 Report
    DUTCH SAFETY BOARD Safe flight routes Responses to escalating conflicts 2021 report Safe flight routes Responses to escalating conflicts 2021 report The Hague, June 2021 The reports issued by the Dutch Safety Board are publicly available on www.safetyboard.nl. Cover photo: Dutch Safety Board The Dutch Safety Board When accidents or disasters happen, the Dutch Safety Board investigates how it was possible for these to occur, with the aim of learning lessons for the future and, ultimately, improving safety in the Netherlands. The Safety Board is independent and is free to decide which incidents to investigate. In particular, it focuses on situations in which people’s personal safety is dependent on third parties, such as the government or companies. In certain cases the Board is under an obligation to carry out an investigation. Its investigations do not address issues of blame or liability. Dutch Safety Board Chairman: J.R.V.A. Dijsselbloem M.B.A. van Asselt (until 14 June 2021) S. Zouridis Secretary Director: C.A.J.F. Verheij Visiting address: Lange Voorhout 9 Postal address: PO Box 95404 2514 EA The Hague 2509 CK The Hague The Netherlands The Netherlands Telephone: +31 (0)70 333 7000 Website: safetyboard.nl E-mail: [email protected] N.B. This report is published in the Dutch and English languages. If there is a difference in interpretation between the Dutch and English versions, the English text will prevail. - 3 - CONTENTS Summary ...................................................................................................................
    [Show full text]
  • Smoke and Sparks from the Left Main Gear, Tower Repeated Flames from the Engine Or the Wheels
    ----------------------------------- http://avherald.com/h?article=48586ab7 20150430141936:20150429000000 Incident: United B752 at Newark on Apr 29th 2015, rejected takeoff after flames reported from engine or gear A United Boeing 757-200, registration N17105 performing flight UA-70 from Newark,NJ (USA) to Amsterdam (Netherlands) with 135 people on board, was accelerating for takeoff from runway 04L when the next departure cleared to line up runway 04L reported seeing smoke and sparks from the left main gear, Tower repeated flames from the engine or the wheels. The crew reject takeoff at low speed, steered the aircraft off the runway and stopped on the adjacent taxiway, tower instructed the aircraft to hold position while emergency services were responding. No fire was detected, the passengers disembarked onto the taxiway and were bussed to the terminal. A replacement Boeing 757-200 registration N17133 reached Amsterdam with a delay of 4 hours. The airport reported smoke and sparks were observed from the left landing gear, no fire was detected, the smoke seemed to originate from the brakes, that appeared to have locked up. The airline reported firefighters responded but found no fire, the aircraft is being checked. ----------------------------------- http://avherald.com/h?article=4857e7ff 20150429220319:20150427000000 Incident: Inuit DH8A near Umiujaq on Apr 27th 2015, smoke in cabin An Air Inuit de Havilland Dash 8-100, registration C-FAIV performing flight 3H-860 from La Grande,QC to Port Hope Simpson,NL (Canada) with no passengers, 3 crew and cargo, was enroute at FL250 about one third into the flight when the flight attendant noticed a burning smell in the cabin between seat row 2 and 3.
    [Show full text]
  • Flying Over Conflict Zones – Follow-Up Recommendations MH17 Crash Investigation Marieke Van Hijum, Senior Investigator, Dutch Safety Board
    Flying over Conflict Zones – Follow-up Recommendations MH17 Crash investigation Marieke van Hijum, Senior Investigator, Dutch Safety Board Marieke van Hijum is senior investigator in the aviation section at the Dutch Safety Board (DSB). Marieke has a Master of Science Degree in Aerospace Engineering from Delft University of Technology, the Netherlands. Following University, she worked for the Dutch Civil Aviation Authority in the areas of research and ATM. In 2006, she joined the European Aviation Safety Agency in Cologne and worked in the domain of occurrence reporting and data analysis and in management positions. In 2017 she joined the DSB and was project manager of the follow-up investigation on the MH17 Crash investigation recommendations. On 17 July 2014, 298 people lost their lives when the Malaysia Airlines aeroplane they were in crashed near Hrabove, Ukraine. The disintegration of the aeroplane during the flight was the result of the detonation of a warhead above the left hand side of the cockpit. The aeroplane crashed over the eastern part of Ukraine, an area in which an armed conflict arose in April 2014. Initially, the conflict mostly took place on the ground, but as from the end of April 2014 it expanded into the airspace. The crash of flight MH17 immediately raised the question why the aeroplane was flying over an area where there was an ongoing armed conflict. The MH17 Crash report published by the Dutch Safety Board in October 2015 responded to this question and explained the decision-making process with regard to flying over conflict zones at the time.
    [Show full text]