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TSB Quarterly Review — First quarter 2020-21

ISSN 2369-7954

July 2020

Chair's message

The past few months have seen a dramatic shift in the way that the TSB conducts its work, as employees respond to the challenges caused by the global pandemic.

Since mid-March, TSB employees shifted into full telework mode, quickly adapting to new workflows for day-to-day operations and safety protocols for deployments. This was in no small part thanks to our IM/IT teams, who worked (and are still working!) tirelessly to ensure that our networks stay up and running with the increased demand.

Throughout this time, our work has continued. Over the past three months, we have deployed investigators to five occurrence sites, started 12 investigations and released 16 investigation reports.

Here’s a recap of just a few noteworthy events:

Finally, the TSB has participated in the download of the flight recorders for Ukrainian International Airlines Flight 752 in Paris. We had sent a team of investigators including a specialist in aircraft recorder download and analysis. Our team followed both the TSB and Government of Canada’s health measures to ensure safe travel for our investigators.

Kathy Fox

Air report release

February 2018 runway overrun in Havre-Saint-Pierre, QC

On 21 May 2020, the Transportation Safety Board of Canada (TSB) released its investigation report (A18Q0030) into the February 2018 runway overrun in Havre-Saint-Pierre, Quebec, which contains two safety recommendations and one Board safety concern.

Rail report release

2017 uncontrolled movement and employee fatality at Melville Yard in Saskatchewan

On 10 June 2020, the Transportation Safety Board of Canada (TSB) released its investigation report (R17W0267) into a 2017 employee fatality following the uncontrolled movement of a rail car at Melville Yard in Saskatchewan, which contains a safety recommendation.

Completed investigations

Post-deployment summaries

Other developments

New investigation pages

Air

Marine

Rail

Pipeline