TSB Quarterly Review — Third quarter 2018-19
At the TSB, 2018 ended with a significant workload and list of accomplishments as we ramped up our efforts to launch and promote Watchlist 2018. From October to December, we held 2 news conferences, 2 field updates (A18O0150 and A18A0085) and 16 outreach activities. We deployed investigators to 9 occurrence sites, released 15 investigation reports, and started 9 new investigations. We also posted 21 status updates on current ongoing investigations.
The launch of Watchlist 2018 on 29 October highlighted key safety issues, including: runway incursions and runway overruns; the lack of additional defences to ensure railway signals are consistently followed; and the disturbing safety record of the commercial fishing industry. Other issues affect all three transportation modes: fatigue, inadequate safety management and oversight, and slow progress on addressing Board recommendations.
On 14 December, the TSB issued two recommendations aimed at preventing flight crews operating in remote areas from taking off with ice, snow and frost on the aircraft. The recommendations stem from the TSB's ongoing investigation into the December 2017 collision with terrain of the West Wind Aviation ATR-42 in Fond-du-Lac, Saskatchewan (A17C0146).
In 2019 we will continue through investigations, recommendations and outreach to call for action and monitor progress.
Happy New Year!
- Grounding of a tanker near Morrisburg, Ont., December 2018
- Uncontrolled movement, collision and fatal derailment near Woss, B.C., December 2018
- Collision with terrain near Deer Lake, Ont., December 2018
- Grounding of a fishing vessel in Hardys Channel, P.E.I.,December 2018
- Loss of propeller control on landing and runway excursion in Thompson, Man., November 2018
- Fatal collision with terrain near the Calgary/Springbank Airport, Alta., November 2018
- Uncontrolled fall of rescue boat at Swartz Bay Terminal, B.C., November 2018
- Loss of control and collision with water in Happy Valley-Goose Bay, N.L., November 2018
- Person overboard and loss of life, vessel Amazoneborg, in Trois-Rivières, Que., November 2018
- Brake failure and ground collision in Winnipeg, Man., October 2018
- Main-track derailment near Winnipeg, Man., October 2018
- Sinking and loss of life in Hecate Strait, B.C., October 2018
- Loss of nose wheel on touchdown at Calgary International Airport, Alta., October 2018
- In-flight electrical arcing near Fredericton Airport, N.B., October 2018
- Derailment in Strathroy, Ont., October 2018
Other news releases
- The TSB announces amendments to the Transportation Safety Board Regulations, December 2018
- The TSB calls for adequate aircraft de-icing equipment, greater compliance with de-icing regulations at remote northern airports, December 2018
- The TSB issues a rail safety advisory following the fatal accident on a railway bridge near Wemotaci, Quebec, November 2018
- Investigation update: Runway overrun at the Halifax Stanfield International Airport, Nova Scotia, November 2018
- Investigation update: Mid-air collision over Carp, Ontario, November 2018
- TSB releases Watchlist 2018: a call to action on safety management and fatigue issues across the transportation industry, October 2018
- Trail Regional Airport, B.C. – Air
- Sainte-Agathe-des-Monts, Que. – Air
- Stephenville Airport, N.L. – Air
- Brantford Municipal Airport, Ont. – Air
- Halifax Stanfield International Airport, N.S. – Air
- Carp Airport, west of Ottawa, Ont. – Air
- Northeast of Prince George, B.C. – Pipeline
- Drummondville Subdivision, Que. – Rail
- Kingston Subdivision, near Ingleside, Ont. – Rail
This may not be a comprehensive list.
Launch of Watchlist 2018
On 29 October, Board members Paul Dittmann, Kathy Fox and Faye Ackermans called on the regulator and stakeholders to take action on seven systemic safety issues across the Canadian transportation system.
Watchlist 2018 news conference
Recommendations on de-icing
On December 14, Investigator-in-charge David Ross, Chair Kathy Fox and Winnipeg Regional Manager Eric Vermette discussed two recommendations issued as part of the ongoing investigation into the December 2017 Fond-du-Lac accident (A17C0146).
Air investigation report A17C0146 - News Conference
Field update: Mid-air collision over Carp, Ontario
On 6 November, Investigator-in-charge Beverly Harvey and Senior Investigator Nora Vallée explained the challenges specific to investigating mid-air collisions (A18O0150).
News briefing: Runway overrun at Halifax Stanfield Airport, Nova Scotia
On 8 November, Investigator-in-charge Austin Adams and Senior Investigator Isabelle Langevin reported on the initial field phase of the investigation and the next steps (A18A0085).