Air transportation

New TSB recommendations

Eliminating the acceptance of unsafe practices

This safety issue investigation (SII) highlights what types of unsafe practices have been happening for years and continue to happen: from flying overweight to flying in marginal weather to flying with minimal fuel reserves. Deviations from standard operating procedures, company policy, regulations, or safe practices can result in outcomes similar to those that have contributed to numerous accidents and incidents over the years.

The TSB has 22 active recommendations that, if addressed, could mitigate the persistent safety deficiencies associated with air-taxi operations including the two main underlying factors contributing to accidents in this sector:

Key safety issues identified in the Ornge helicopter accident at Moosonee, Ontario

Investigation findings in the May 2013 helicopter accident in Moosonee, Ontario

The investigations conducted by the Transportation Safety Board of Canada (TSB) are complex, and it is never just one factor that causes an accident. The May 2013 helicopter accident in Moosonee, Ontario, was no exception. There were many factors that caused this accident, the details of which are contained in the 12 findings as to causes and contributing factors. Furthermore, there were 17 additional findings as to risk as well as 4 other findings.

Recommendations arising from Investigation A13H0001 (Moosonee)

The Transportation Safety Board of Canada (TSB) is issuing 14 recommendations as a result of its investigation into the May 2013 fatal crash of an Ornge Sikorsky S-76A helicopter in Moosonee, Ontario.

The recommendations are being issued to address safety deficiencies in:

Investigation findings into the December 2012 Perimeter Aviation Flight 993 that crashed in Sanikiluaq, Nunavut

The investigations conducted by the Transportation Safety Board of Canada (TSB) are complex, and it is never just one factor that causes an accident. The December 2012 Perimeter Aviation crash in Sanikiluaq, Nunavut, was no exception.

Recommendations from investigation of Perimeter Aviation Flight 993 crash in Sanikiluaq, Nunavut in December 2012

Occurrence

On 22 December 2012, Perimeter Aviation Flight 993 crashed while attempting to land in Sanikiluaq, Nunavut. The aircraft had come in too high, too steep, and too fast, striking the ground 525 feet past the end of the runway after an unsuccessful attempt to reject the landing. The 2 crew and 6 adult passengers, secured by their seatbelts, suffered injuries ranging from minor to serious.

TRANSPORTATION SAFETY BOARD OF CANADA
AVIATION SAFETY RECOMMENDATIONS

DATE ISSUED: 27 March 2008

FORWARDED TO:

The Honourable Lawrence Cannon, P.C., B.A., M.B.A.
Minister of Transport, Infrastructure and Communities

SUBJECT: Emergency Fuel Shut-Off

TRANSPORTATION SAFETY BOARD OF CANADA
AVIATION SAFETY RECOMMENDATIONS

DATE ISSUED: 27 March 2008

FORWARDED TO:

The Honourable Lawrence Cannon, P.C., B.A., M.B.A.
Minister of Transport, Infrastructure and Communities

SUBJECT: Regulation of Passenger-Carrying Balloons