Aviation Investigation A17W0024
Collision with terrain
On 13 February 2017, a Tecnam P2006T aircraft operated by Mount Royal University, was conducting a visual flight rules instructional flight originating out of Calgary/Springbank Airport, AB (CYBW), Calgary, Alberta. Approximately 30 minutes into the flight, the aircraft collided with terrain 32 nautical miles northwest of CYBW. There was a post-impact fire and the aircraft was destroyed. The two occupants were fatally injured.
Map of the area
What we know
Update: 27 February 2017
The examination and documentation of the wreckage scene is complete and investigators have collected the data they needed from the accident site.
The wreckage was removed and transported to the TSB facility in Edmonton, Alberta, for further analysis.
We have requested the aircraft's maintenance history.
We have obtained most of the radar data and most of the Air Traffic Control audio; we are waiting for a few more files and we are in the process of analyzing it.
With the conclusion of the Field Phase, the Examination and Analysis Phase begins. In the coming days and weeks, as part of its investigation process, the team will
Working with others
The TSB conducts independent investigations. However, we would like to recognize the contribution of other organizations:
Absence of flight data recorder and cockpit voice recorder
The absence of a Cockpit Voice Recorder (CVR) or a Flight Data Recorder (FDR) will make this investigation particularly challenging.
The Tecnam P2006T involved in the crash was not equipped with, nor was it required to carry, a CVR or FDR. In Canada, only multi-engine, turbine-powered commercial aircraft flown by two pilots and carrying six or more passengers are required to carry a CVR on board.
As early as 1991, the Board made a recommendation calling for the upgrade of flight recorder requirements.
Following TSB investigation A88O0491, the Board issued the following recommendation in 1991:
The Department of Transport expedite legislation for upgrading the flight recorder requirements for Canadian-registered aircraft.TSB Recommendation A91-13
Since then, the aviation industry has developed several different lightweight flight recording systems which could be installed in smaller aircraft at a low cost. These flight recording systems could be used by accident investigators to identify safety deficiencies and reduce risk in a timely manner.
As part of TSB investigation A11W0048, in 2013 the Board recommended that
The Department of Transport work with industry to remove obstacles to and develop recommended practices for the implementation of flight data monitoring and the installation of lightweight flight recording systems by commercial operators not currently required to carry these systems.TSB Recommendation A13-01
The TSB urges the industry and private corporate aircraft owners to take advantage of the new, low-cost flight recording technology to advance safety in their operations.
Communication of safety deficiencies
Investigations are complex and we take the time needed to complete a thorough investigation. However, should the investigation team uncover safety deficiencies that present an immediate risk, the Board will communicate them without delay.
Further, it is important not to draw conclusions or speculate as to causes at this time. There are often many factors that can contribute to an accident.
Fred Burow is a senior operations investigator with the TSB Western Regional Office in Edmonton. Fred has been with the TSB since January of 2013. Before joining the TSB, Fred worked at Transport Canada where he gained experience as an inspector for aerodrome safety, air carrier inspections and as a flight operations manager and training pilot for Transport Canada's Aircraft Services Directorate. Besides extensive fixed-wing aircraft experience, Fred gained valuable rotary-wing experience with the Canadian Armed Forces as a crew commander, flight safety officer, squadron standards officer and manager of flight operations at the Canadian Forces Flight Training School.
Transportation Safety Board investigation process
There are 3 phases to a TSB investigation:
- Field phase: a team of investigators examines the occurrence site and wreckage, interviews witnesses and collects pertinent information.
- Examination and analysis phase: the TSB reviews pertinent records, tests components of the wreckage in the lab, determines the sequence of events and identifies safety deficiencies. When safety deficiencies are suspected or confirmed, the TSB advises the appropriate authority without waiting until publication of the final report.
- Report phase: a confidential draft report is approved by the Board and sent to persons and corporations who are directly concerned by the report. They then have the opportunity to dispute or correct information they believe to be incorrect. The Board considers all representations before approving the final report, which is subsequently released to the public.
For more information, see our Investigation process page.
Update about the TSB investigation into the accident involving a Tecnam P2006T aircraft near Cochrane, Alberta
Read the news release
TSB will hold a media availability and provide an update on its investigation into the aircraft accident near Cochrane, Alberta
Read the media advisory
TSB deploys a team of investigators to the site of an aircraft accident near Cochrane, Alberta
Read the deployment notice
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