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Quarterly Report Aviation Quarterly Report Aviation page 8 Investigations Within the Aviation sector, the Dutch Safety Board is required by law to investigate occurrences involving aircraft on or above Dutch territory. In addition, the Board has a statutory duty to April-June 2016 investigate occurrences involving page 11 Dutch aircraft over open sea. Its investigations are conducted in In the second quarter of 2016, the Dutch Safety Board started an accordance with the Safety Board investigation into the cause of a mid-air collision between two Kingdom Act and Regulation (EU) fighter jets involved in a training session for the ‘Air Force Days’ no. 996/2010 of the European at Leeuwarden Air Base. Furthermore, the Board published Parliament and of the Council of investigation reports about an airliner performing an automatic 20 October 2010 on the investiga- approach followed by a hard landing and about an aeroplane tion and prevention of accidents that crashed during an aerobatic flight. and incidents in civil aviation. If a description of the events is Also this quarter, foreign authorities have initiated investigations into occurrences in which the Board provides assistance due to Dutch enough to learn lessons, the involvement. Board does not conduct any page 12 further investigation. The Board investigated an airspace infringement near Soesterberg by a powered glider. As a result of this infringement, the Dutch Safety The Board’s activities are mainly Board would like to emphasize that it is the responsibility of a pilot-in- aimed at preventing occurrences command to consult all available information necessary for safe flight in future or limiting their conse- execution. quences. If any structural safety Tjibbe Joustra, shortcomings are revealed, the Chairman, Dutch Safety Board Board may formulate recommen- dations to remove these. The Board’s investigations explicitly exclude any culpability or liability aspects. Mid-air collision, 2 x Northrop F-5E Tiger Occurrences II, J-3086, J-3088, Bitgum, 9 June 2016 into which an The Swiss military aerobatic display team Patrouille Suisse was training for its display at the Luchtmachtdagen (‘Air Force Days’) at Leeuwarden Air Base. Four fighter jets from investigation the team had split into two formations of two aeroplanes. After having completed a manoeuvre, the two formations joined up once again into a formation of four. At this point, has been initiated two jets made contact. One of these (J-3086) was damaged to such a degree that it began to roll uncontrollably and the pilot was forced to use his ejector seat. Both the pilot and the ejector seat landed in a greenhouse. The aeroplane ended up in a small lake some distance away. The second jet (J-3088) sustained severe damage to its right-hand wing and right-hand horizontal stabiliser, but the pilot was able to safely land the aeroplane at Leeuwarden Air Base. Classification:accident Reference: 2016059 The J-3086 crash site Damage to J-3088’s right-hand horizontal stabiliser. 2 - Dutch Safety Board Runway excursion, Fokker F28 Mark Loss of control during launch, Schleicher Occurrences abroad 0100, YR-FZA, Gällivare Airport K7, PH-1070, Long Mynd Airfield, with Dutch (Sweden), 6 April 2016 Shropshire (United Kingdom), 6 April 2016 The Fokker 100 aeroplane was on a domestic flight from The glider made a so-called bungee launch. With this Arvidsjaur Airport to Gällivare Airport with five crew and method, the glider is launched from a slope using an involvement that 51 passengers on board. After landing on runway 30 in elastic band that is pulled taut by multiple persons. winter conditions, it experienced a runway excursion. The During the take-off run, the glider turned to the left. The aeroplane came to rest beyond the end of the runway and wind caught the right wing and the glider was then lifted, foreign authorities suffered no damage. The occupants sustained no injuries. rolled over its nose and came to rest upside down. The two occupants were not injured; the glider was severely have initiated The Swedish Accident Investigation Authority (SHK) has damaged. initiated an investigation in response to this occurrence. The Dutch Safety Board is providing assistance. The investigation has been delegated by the British investigations into Air Accidents Investigation Branch (AAIB) to the British Classification:serious incident Gliding Association. The Dutch Safety Board is providing Reference: 2016024 assistance. Classification:accident Reference: 2016030 YR-RZA after the runway excursion. The crashed PH-1070. (Photo: pilot-in-command PH-1070) (Photo: SHK) Quarterly Report Aviation 2nd quarter 2016- 3 Occurrences abroad Engine problems followed by emergency Low on fuel, Boeing 737-700, PH-XRZ, with Dutch landing, Cessna 210 Centurion, HA-SZE, Barcelona Airport (Spain), 17 April 2016 Csesztreg (Hungary), 10 April 2016 involvement that During landing at Barcelona Airport the Boeing 737-700 The Cessna 210 aeroplane, which was previously aeroplane, which had departed from Schiphol Airport, foreign authorities registered in the Netherlands, encountered engine performed a go-around on runway 25R as a result of a problems during a flight from Kaposvar Kaposújlak tailwind. The flight crew then declared an emergency with have initiated Airport, after which the pilot had to make an emergency air traffic control because their aeroplane was low on fuel. landing. Both occupants were not injured. The aircraft The aeroplane landed on runway 07. investigations into suffered minor damage. The investigation of the engine showed that the crankshaft was broken. Spain’s CIAIAC has initiated an investigation in response to this occurrence. The Dutch Safety Board and the The Hungarian Transport Safety Bureau (KBSZ) has involved Dutch airline are providing assistance. initiated an investigation in response to this occurrence. The Dutch Safety Board is providing assistance. Classification:serious incident Reference: 2016031 Classification:serious incident Reference: 2016064 HA-SZE after the emergency landing. (Photo: KBSZ) 4 - Dutch Safety Board Landing with nose landing gear Hard landing, Grob G103 TWIN ASTIR, Crash, Van’s RV-4, PH-EIL, Vendée Coëx retracted, Fokker F27 Mark 050, SE-LEZ, D-3953, SOCATA Rallye 180, F-BPMB, (France), 1 June 2016 Catania Airport (Italy), 30 April 2016 Saint-Florentin Chéu (France), 20 May 2016 The Dutch-registered two-person aeroplane flew into the On a domestic flight from Rimini Airport to Catania ground. Both occupants were French nationals. The pilot Airport, the aeroplane landed with the nose landing gear The glider, with two persons on board (both of them lost his life and the passenger suffered serious injuries. retracted. The fuselage of the aeroplane was damaged. Dutch nationals), was being towed by a motorised The aircraft was completely destroyed. None of the 21 occupants (three crew and eighteen aeroplane while conducting a training flight. During a passengers) were injured. low-towing training exercise, the towing combination flew The French Bureau d’Enquêtes et d’Analyses pour la at low altitude on the final approach leg, over a rapeseed sécurité de l’aviation civile (BEA) has initiated an investi- The Italian air accident investigation authority (ANSV) has field in front of the grass runway, at which point the gation in response to this occurrence. The Dutch Safety initiated an investigation in response to this occurrence. towing cable touched the ground and got stuck. The Board is providing assistance. The Dutch Safety Board is providing assistance. glider then flew into the ground and sustained severe damage. The instructor bruised a rib and his sternum; the Classification:accident Classification:accident trainee was not injured. Reference: 2016055 Reference: 2016036 The French Bureau d’Enquêtes et d’Analyses pour la sécurité de l’aviation civile (BEA) has initiated an investi- gation in response to this occurrence. The Dutch Safety Board is providing assistance. Classification:accident Reference: 2016048 Recovery of SE-LEZ after the accident. (Photo: ANSV) Archive picture of PH-EIL. (Photo: K. van Aggelen) Quarterly Report Aviation 2nd quarter 2016- 5 Occurrences abroad Emergency descent, Fokker F28 Collision on the ground, Airbus A319, with Dutch Mark 0100, VH-NHF, Newman Airport D-AKNU, Embraer ERJ 190-100 STD, (Australia), 7 June 2016 PH-EZB, Stuttgart Airport (Germany), involvement that 15 June 2016 The Fokker 100 aeroplane performed a flight from foreign authorities Christmas Creek Airport to Perth Airport with five crew The Embraer 190 aeroplane was keeping its position on a and 28 passengers on board. During climb, while passing taxiway as per instructions from air traffic control. The have initiated FL305, the pilots heard a lot of noise and observed a Airbus A319 aeroplane was being pushed back from its sharp decrease in cabin air pressure. They performed an parking position by a vehicle. During this process, the investigations into emergency descent and diverted to Newman Airport, right-hand wing tip of the Airbus A319 came in contact where they landed safely. with the tail of the Embraer 190. Both aircraft were damaged. The occupants were not injured. The Australian Transport Safety Bureau (ATSB) has initiated an investigation in response to this occurrence. The German Bundesstelle für Flugunfalluntersuchung The Dutch Safety Board is providing assistance. (BFU) has initiated an investigation in response to this occurrence. The Dutch Safety Board is providing Classification:serious incident assistance. Reference: 2016061 Classification:serious incident Reference: 2016060 Damage to PH-EZB tail and to D-AKNU wing tip. (Photo: BFU) 6 - Dutch Safety Board Crashed during aerobatic flight, Extra means of exclusion and probability. During the Published reports EA-300L, D-EXIR, Bussloo, 19 March 2014 investigation it was established that the laws and regulations, as well as supervision on the performing of aerobatic flights, can be improved. Although not directly The single-engine aeroplane, model Extra EA-300L, related to the occurrence of the accident, this issue is conducted an aerobatic flight from Teuge Airport.
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