Progress Report 2009

Report Overview

It contains all the recommendations made by the AAIB in 2008 including the responses to those recommendations received up to and including 30 June 2009 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

This overview has been truncated. Please refer to the official documents below for the complete canonical report.

Official Documents

Progress Report 2009

Download

Document Content Preview

Extracted text from the first few pages of the official documents.

Progress Report 2009

Responses to Air Accidents Investigation Branch (AAIB) Safety Recommendations Responses recieved to AAIB recommendations made up to 31 December 2008, presented to the Secretary of State for Transport Progress Report 2009 Progress Report 2009 Progress Report 2009 © Crown Copyright 2009 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 December 2009 Progress Report 2009 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 Progress Report 2009 CONTENTS Page No Foreword I 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 26 Section 3 Aeroplanes 2,500kg MTWA and below 31 Section 4 Microlights 36 Section 5 Rotorcraft 5,700kg MTWA and above 39 Section 6 Rotorcraft above 2,250kg and below 5,700kg MTWA 40 Section 7 Rotorcraft 2,500kg MTWA and below 46 Section 9 Others 47 Index by Section 48 Index by Safety Recommendation Number 51 Progress Report 2009 www.aaib.gov.uk i Foreword The Air Accidents Investigation Branch is the 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 Overseas Territories and Crown Dependencies. 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 (SRG) is established to develop the UK's aviation safety environment, in partnership with industry, through continuous improvements in aviation safety in the UK and, in partnership with the European Aviation Safety Agency (EASA), across Europe. The European Community established EASA in 2003 with the legal competence to be the rulemaking and standard setting organisation for all aviation safety regulation on behalf of its member states. The EASA now actively undertakes the tasks of aircraft and product certification, and has responsibility for the rules related to the design and maintenance of aircraft products and parts, plus setting standards for those organisations involved in design, production and maintenance of these products and parts. The Agency’s rulemaking role is expanding and the detailed Implementing Rules for aircraft operations and flight crew licensing are expected to be completed during 2009. Similarly, work has begun on developing draft (high level) Essential Requirements to cover air traffic management and aerodrome activities. This is expected to be the third and final major phase of the transition to a coherent European rulemaking body for aviation safety regulation. As a National Aviation Authority however, the CAA SRG retains a statutory duty to exercise full rulemaking and oversight responsibility for all those aspects not being adopted by EASA. Moreover, as a Competent Authority within the new European framework, CAA SRG is required to deliver safety oversight of UK industry against EASA’s pan-European rules and standards. The developing European framework for the regulation of aviation safety has at its heart ‘2 pillars’ – EASA and the National Aviation Authorities of the Community member states. Collectively, therefore, a maturing European regulatory system will continue to be focused on seeing that aircraft are properly designed, manufactured and operated and maintained; that airlines operate safely; that flight crews, air traffic controllers and aircraft maintenance engineers are suitably skilled; that licensed aerodromes are safe to use and that air traffic control services and general aviation activities meet the required safety standards. Accident investigation and safety regulation are clearly different and the two functions are deliberately kept independent from 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 accident investigation. Effective liaison has been maintained between the AAIB, the CAA and the EASA, 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. Progress Report 2009 www.aaib.gov.uk ii Safety 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 is informed of all AAIB Safety Recommendations and has, until now, responded to the AAIB, in the form of a Follow-up Action on Occurrence Report (FACTOR), on all Safety Recommendations, regardless of whether they were the action addressee. In future, however, the CAA will only formally respond to the AAIB with a FACTOR if a Safety Recommendation is specifically addressed to them. They have assured the AAIB, however, that they will continue to react appropriately to any Safety Recommendation if they believe it is in the interests of UK aviation safety. Until September 2004, responses to the Air Accidents Investigation Branch's recommendations were 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 shift of responsibilities, however, it has become more appropriate for the 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 fifth report details the responses received to AAIB Safety Recommendations made up to and including 31 December 2008. www.aaib.gov.uk 1 The Report This is the fifth 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 2008 including the responses to those recommendations received up to and including 30 June 2009 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 6 categories. 1. Accepted - CLOSED (appropriate action implemented or planned but not yet implemented) 2

Text truncated. The original document has 61 pages.

Read the full text here

Accidents Database