Air transportation

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Air transportation safety investigation report

Backgrounder

Investigation findings (A15Q0120) into the fatal August 2015 de Havilland DHC-2 aircraft accident near Tadoussac, Quebec

Investigations conducted by the Transportation Safety Board of Canada (TSB) are complex – an accident is never caused by just one factor. The August 2015 accident near Tadoussac, Quebec, was no exception. Many factors caused this accident, the details of which are contained in the four findings as to causes and contributing factors. Furthermore, there were seven findings as to risk as well as four other findings.

Backgrounder: A15P0081-20171102-2

Safety communications related to TSB Investigation A15P0081 into fatal in-flight breakup north of Vancouver, British Columbia, in April 2015

Occurrence

On 13 April 2015, Carson Air Ltd. flight 66, a Swearingen SA226-TC Metro, departed Vancouver International Airport, British Columbia, with two pilots on board for a flight to Prince George, British Columbia. At 07:09 Pacific Daylight Time (PDT), approximately six minutes after leaving Vancouver, the aircraft disappeared from air traffic control radar.

Backgrounder: A15P0081-20171102-1

Findings of TSB Investigation A15P0081 into fatal in-flight breakup north of Vancouver, British Columbia, in April 2015

Investigations conducted by the Transportation Safety Board of Canada (TSB) are complex – an accident is never caused by just one factor. The April 2015 accident near Vancouver, British Columbia, was no exception. The investigation findings are as follows:

Backgrounder: A15H0002-20170518

Investigation findings (A15H0002) in the March 2015 collision with terrain involving an Air Canada Airbus A320 at the Halifax Stanfield International Airport, Nova Scotia

Investigations conducted by the Transportation Safety Board of Canada (TSB) are complex – an accident is never caused by just one factor. The March 2015 accident at the Halifax Stanfield International Airport, Nova Scotia, was no exception. There were many factors that caused this accident, the details of which are contained in the 14 findings as to causes and contributing factors.

Raising the bar on safety: Reducing the risks associated with air-taxi operations in Canada

New TSB recommendations

Eliminating the acceptance of unsafe practices

This safety issue investigation (SII) highlights what types of unsafe practices have been happening for years and continue to happen: from flying overweight to flying in marginal weather to flying with minimal fuel reserves. Deviations from standard operating procedures, company policy, regulations, or safe practices can result in outcomes similar to those that have contributed to numerous accidents and incidents over the years.

Backgrounder: A13H0001-20160615B

Investigation findings in the May 2013 helicopter accident in Moosonee, Ontario

The investigations conducted by the Transportation Safety Board of Canada (TSB) are complex, and it is never just one factor that causes an accident. The May 2013 helicopter accident in Moosonee, Ontario, was no exception. There were many factors that caused this accident, the details of which are contained in the 12 findings as to causes and contributing factors. Furthermore, there were 17 additional findings as to risk as well as 4 other findings.

Backgrounder: A13H0001-20160615A

Recommendations arising from Investigation A13H0001 (Moosonee)

The Transportation Safety Board of Canada (TSB) is issuing 14 recommendations as a result of its investigation into the May 2013 fatal crash of an Ornge Sikorsky S-76A helicopter in Moosonee, Ontario.

The recommendations are being issued to address safety deficiencies in: