TSB Quarterly Review — Third quarter 2019-20
ISSN 2369-7954
January 2020
Chair's message
As we ease into the new year, it’s a good time to take stock of some of what we accomplished in the previous one. During the third quarter of fiscal year 2019–20, the TSB deployed investigators to 13 occurrence sites across the country, started 12 investigations, released 14 investigation reports, and issued 5 recommendations. It goes without saying that we’ve been busy. Here, then, are a few highlights from the past three months.
In October, we concluded our investigation into a Hydro One Networks helicopter that collided with terrain near Tweed, Ontario (A17O0264). The TSB concluded that there is ambiguity in the Canadian Aviation Regulations concerning the use of shoulder harnesses, and we recommended that Transport Canada amend the definition of safety belt to remove this ambiguity. In doing so, we also sent a message to passengers, crews and operators: buckle up! It can save lives.
In November, we released an exhaustive four-year study of air taxi operations in Canada (A15H0001). The final report contained four recommendations aimed at raising the bar on safety, and hopefully reducing the number of accidents and fatalities in a sector that already has far too many.
Finally, we made sure that we spent a good part of the past few months listening to industry—specifically, we held a series of consultations with stakeholders across the country and attended key conferences to get feedback on the Watchlist. Although we’re still analyzing all the information, we would like once again to send our sincerest thanks to all those who participated.
As we enter into a new year, and a new decade, we reiterate our commitment to advancing transportation safety and reducing risk for all Canadians, whether at home or abroad, as evidenced by our recent deployment of two TSB investigators to Iran, following the Ukrainian International Airlines occurrence.
Kathy Fox
New Director of Marine Investigations

Clifford Harvey joined the Transportation Safety Board of Canada (TSB) in November 2019, as Director of Marine Investigations. Mr. Harvey is a marine engineer with over 25 years of experience as a public servant in the marine industry. See his extended biography.
Tug girding video
Between 2005 and 2018, the TSB received reports of 26 girding situations that resulted in 21 capsizings. In response, the TSB created this video to illustrate the factors leading to girding and the recovery methods.The video has received international recognition and been viewed over 78 thousand times! Watch it here.
Completed investigations
- August 2018 roll-on/roll-off passenger near North Saanich, British Columbia
- May 2019 forced landing near Hay River, Northwest Territories
- May 2019 collision with terrain at Erik-Nielsen international airport, Yukon
- July 2019 main-track train derailment near Saint-Polycarpe, Quebec
- October 2018 main-track collision near Crysler, Ontario
- January 2018 main-track derailment near Rennie, Manitoba
- April 2019 main-track derailment near L’Assomption, Quebec
- Air Transportation SII: Reducing the risks associated with air-taxi operations in Canada
- May 2019 collision with terrain near Domain Lake, Ontario
- February 2019 striking of a wharf near Godbout, Quebec
- December 2017 collision with terrain near Tweed, Ontario
- March 2019 loss of control during rollout at Stanfield international airport, Nova Scotia
- March 2019 collision with terrain on Snowshoe Lake, Ontario
- August 2018 girding and capsizing in North arm of the Fraser River, British Columbia
Post-deployment summaries
- July 2019 collision with water in Lac Mistastin, Newfoundland and Labrador
- June 2019 grounding near Bay Bulls, Newfoundland and Labrador
- June 2019 collision with terrain near Medicine Hat, Alberta
Investigation updates
- November 2019 collision with terrain in Kingston, Ontario
- December 2019 collision with terrain on Gabriola Island, British Columbia
New investigation pages
- Gladstone (Manitoba) – Rail
- Lake Simcoe (Ontario) – Air
- Bras Syndey (British Columbia) – Air
- Detroit River (USA/Canada Border) – Marine
- Gabriola Island (British Columbia) – Air
- Guernsey (Saskatchewan) – Rail
- Sachigo Lake (Ontario) – Air
- Kingston (Ontario) – Air
- Bolton-West (Quebec) - Rail
- Little Grand Rapids (Manitoba) – Air
- Campbell River (Colombie-Britannique) – Air
- Chipman (Alberta) – Rail