Progress Report 2006

Report Overview

It contains all the recommendations made by the AAIB in 2005 including the responses to those recommendations received up to and including 30 June 2006 and those recommendations categorised as open from previous years where significant additional information has been received.

The recommendations are grouped into eight sections:

Aeroplanes 5,700kg MTWA and above
Aeroplanes above 2,250kg and below 5,700kg MTWA
Aeroplanes 2,500kg MTWA and below
Microlights
Rotorcraft 5,700kg MTWA and above
Rotorcraft above 2,250kg and below 5,700kg MTWA
Rotorcraft 2,500kg MTWA and below
Others

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Official Documents

Progress Report 2006

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Progress Report 2006

Responses to Air Accidents Investigation Branch (AAIB) Safety Recommendations Responses recieved to AAIB recommendations made up to 31 December 2005, presented to the Secretary of State for Transport Progress Report 2006 © Crown Copyright 2007 All rights reserved. Copies of this publication may be reproduced for personal use, or for use within a company or organisation, but may not otherwise be reproduced for publication. Extracts can be published without specific permission providing that the source is duly acknowledged. Published March 2007 Progress Report 2006 Enquiries regarding the content of this publication should be addressed to: Air Accidents Investigation Branch Farnborough House Berkshire Copse Road Aldershot Hampshire GU11 2HH. This document is also available in electronic (pdf) format at www.aaib.gov.uk www.aaib.gov.uk i CONTENTS Page No Foreword iii The Report 1 Statistics 1 Section 1 Aeroplanes 5,700kg MTWA and above 3 Section 2 Aeroplanes above 2,250kg and below 5,700kg MTWA 44 Section 3 Aeroplanes 2,500kg MTWA and below 51 Section 4 Microlights 63 Section 5 Rotorcraft 5,700kg MTWA and above 71 Section 6 Rotorcraft above 2,250kg and below 5,700kg MTWA 73 Section 7 Rotorcraft 2,500kg MTWA and below 74 Section 8 Others 81 Index by Section 84 Index by Safety Recommendation Number 88 www.aaib.gov.uk iii Foreword The Air Accidents Investigation Branch is part of the Department for Transport responsible for the investigation of all civil aircraft accidents and serious incidents (collectively referred to as 'accidents' in this document) occurring in or over the United Kingdom. Its authority is enshrined in the Civil Aviation (Investigation of Air Accidents and incidents) Regulations 1996 and its purpose is 'to improve aviation safety by determining the causes of air accidents and serious incidents and making safety recommendations intended to prevent recurrence'. The AAIB reports directly to the Secretary of State for Transport on safety matters. The Civil Aviation Authority (CAA) Safety Regulation Group's (SRG) role is to ensure that UK civil aviation standards are set and achieved in a co-operative and cost effective manner. Until recently the SRG had to satisfy itself that aircraft were properly designed, manufactured, operated and maintained; that airlines were competent; that flight crews, air traffic controllers and aircraft maintenance engineers were fit and competent; that licensed aerodromes were safe to use and that air traffic services and general aviation activities meet required safety standards. They continue to fulfil most of these functions but, in September 2003, the responsibility for certification and continued airworthiness of aircraft was transferred to the European Aviation Safety Agency (EASA). Therefore AAIB recommendations relating to airworthiness are now directed to the EASA. Accident investigation and safety regulation are clearly different and the two functions are deliberately kept independent of each other. However, the evaluation of the findings of an accident investigation and the determination of the need for, and the initiation of, appropriate action to maintain and enhance safety is an important part of safety regulation. Thus a good working relationship between the AAIB, the CAA and the EASA is essential, while in no way jeopardising the independence of the accident investigation. Effective day to day liaison has been maintained between the AAIB and the CAA, which has been particularly useful in the immediate aftermath of any accident. However, the formal procedure by which the AAIB identifies and conveys to the CAA, the EASA or other bodies, matters which it believes require action, is by means of Safety Recommendations. Recommendations can be made at any stage as the AAIB investigation progresses. Both the CAA and the EASA have formal procedures for the receipt and evaluation of such recommendations and initiation of necessary action. The CAA responds to the AAIB as quickly as possible on all recommendations as they arise, those of an urgent nature being acted upon immediately. The EASA response to AAIB safety recommendations however, has, until recently, been less formalised but the AAIB now receives an acknowledgement that a recommendation has been received but as yet the AAIB has not been informed by the EASA whether a recommendation has been accepted or if any safety actions have been implemented. Historically, responses to the Air Accidents Investigation Branch's recommendations have been published by the Civil Aviation Authority in their annual Progress Report on AAIB recommendations under the cover of a Civil Aviation Publication (CAP). With the recent shift of airworthiness responsibilities however, it has become more appropriate for the www.aaib.gov.uk iv AAIB to take responsibility for reporting on the responses to its recommendations regardless of the target authority or organisation. The first AAIB progress report was published in March 2006. This second report details the responses received to AAIB recommendations made up to and including 31 December 2005. www.aaib.gov.uk 1 The Report This is the second annual Progress Report on Safety Recommendations submitted to the Secretary of State by the Air Accidents Investigation Branch (AAIB). It contains all the recommendations made by the AAIB in 2005 including the responses to those recommendations received up to and including 30 June 2006 and those recommendations categorised as open from previous years where significant additional information has been received. The recommendations are grouped into eight sections: 1. Aeroplanes 5,700kg MTWA and above 2. Aeroplanes above 2,250kg and below 5,700kg MTWA 3. Aeroplanes 2,500kg MTWA and below 4. Microlights 5. Rotorcraft 5,700kg MTWA and above 6. Rotorcraft above 2,250kg and below 5,700kg MTWA 7. Rotorcraft 2,500kg MTWA and below 8. Others Within each section the accidents are listed by event date in reverse chronological order. This date should be taken as the date the recommendation was made. The Status of responses to safety recommendations, as determined by the AAIB, have been divided into 7 categories. 1. Accepted - CLOSED (appropriate action implemented/planned) 2. Accepted - OPEN (appropriate action planned but not yet implemented) 3. Rejected - OPEN (further action required) 4. Rejected - rejected for acceptable reasons not known at the time of publication (no further AAIB action) 5. Partially accepted – OPEN 6. Partially accepted - CLOSED 7. Response awaited - OPEN Statistics Recommendations made in 2005 and status: Number Status Category 1 Accepted CLOSED 2 Accepted OPEN 3 Rejected OPEN 4 Rejected 5 Partially accepted OPEN 6 Partially accepted CLOSED 7 Response awaited OPEN 126 50 17 1 10 3 2 43 % of total 39.68 13.49 0.79 7.94 2.38 1.59 34.13 87% of recommendations receiving a response have either been accepted or partially accepted. Note: 19 safety recommendations were allocated with recommendation numbers of which 10 were withdrawn; 5 superceded & 4 no longer applicable before issue www.aaib.gov.uk 2 Recommendations made in 2005 by Addressee: Addressee Number Airbus 2 Apex Aviation 1 AvCraft 1 British Gliding Association (BGA) 2 British Microlight Aircraft Association (BMAA) 3 British Parachute Association 8 British Airways 2 British Airways Maintenance Organisation 6 Civil Aviation Authority (CAA) 31 Centro Tecnico Aeroespacial (CTA) of Brazil 1 Cessna Aircraft Company 2 Dassault Aviation 3 European Aviation Safety Agency (EASA) 21 Embraer 1 Empresa Brasileira De Aeronautica, SA (Embraer) 1 Eurocopter 3 Evergreen International Airline 1 Excel Airways 2 Federal Aviation Administration (FAA) 19 FlightSafety International 2 Hartzell Propeller Incorporated

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