Flight Safety Information November 10, 2014 - No. 228 In This Issue Learjet 35A Accident, Nassau, Bahamas Flight 370 Latest: Missing Jet To Be Declared 'Lost,' Compensation TBA Southwest Airlines Captain Broke Safety Rules Before 2013 New York Accident Delta emergency landing in Birmingham due to in-flight cracked windshield Boeing 737 Landing Gear Failure (Kabul, Afghanistan) Boeing Gets $8.5B Order For 80 737 MAX Jets From Japan's SMBC Aviation Capital PRISM TO HELP PREPARE FOR E-IOSA AIRCON3 - Pre-Conference Workshop Call for Papers Issued for 2015 CHC Safety & Quality Summit in Vancouver 2014 ISASI Jerome F. Lederer Award Winner...David F. King Upcoming Events Learjet 35A Accident, Nassau, Bahamas Status: Preliminary Date: Sunday 9 November 2014 Time: ca 17:10 Type: Silhouette image of generic LJ35 model; specific model in this crash may look slightly different Learjet 35A Operator: Diplomatic Aviation (Bahamas) Ltd Registration: N17UF C/n / msn: 258 First flight: 1979 Crew: Fatalities: / Occupants: Passengers: Fatalities: / Occupants: Total: Fatalities: 9 / Occupants: 9 Airplane damage: Damaged beyond repair Location: near Freeport-Grand Bahama International Airport (FPO) ( Bahamas) Phase: Approach (APR) Nature: Domestic Non Scheduled Passenger Departure airport: Nassau-Lynden Pindling International Airport (NAS/MYNN), Bahamas Destination airport: Freeport-Grand Bahama International Airport (FPO/MYGF), Bahamas Narrative: A Learjet 35A, registered to Diplomatic Aviation (Bahamas) Ltd and operating as a charter flight for the Bahamas Faith Ministries International clipped a crane and impacted shipyard terrain while on approach to the Grand Bahamas International Airport in Freeport. The aircraft was destroyed and all nine occupants onboard were fatally injured. Weather may have been a factor in the accident. www.aviation-safety.net Back to Top Flight 370 Latest: Missing Jet To Be Declared 'Lost,' Compensation TBA Malaysia Airlines Flight 370 went missing back in March, and search efforts have failed to produce one shred of evidence for the missing Boeing 777 aircraft. According to media sources, top officials with the commercial airline urged patience, and said that unless ongoing efforts to locate MAS Flight MH370 produces debris or credible information as to the plane's whereabouts, the plane will be considered lost. Compensation will follow. Hugh Dunleavy, the highest-ranking representative with the troubled airline on the ground in New Zealand, said that government officials with Australia and Malaysia are watching search efforts of Flight 370 closely for developments. Additionally, they are quietly transitioning to plans for compensating families once the jet and its 239 flight and crew are declared lost. "We don't have a final date but once we've had an official loss recorded we can work with the next of kin on the full compensation payments for those families." MAS has come under fire for allegedly trying to avoid payment to surviving family members for passengers possibly lost on 370. There's also been no shortage of conspiracy theories, ranging from terrorism, government coverups and pilot suicide. Officials denied allegations of impropriety and have reiterated efforts in good faith to find the missing MH370 airplane. Dunleavy outlined initial steps to compensate passengers' loved ones when the 370 plane is considered lost. "We will ensure we do compensate them for the loss of their loved ones through our insurers. We are trying to hurry (compensation) up as much as we can but some of these things are outside the scope of the airline itself." "If they're not happy with the compensation then they seek legal advice and move ahead, then once they come in our people will assess them and respond." The mystery of Malaysia Flight 370 is quite daunting. As many experts agree, the money and search efforts to locate the lost airliner are unprecedented. It highlights the importance of discovering new innovation to reach the depths of the ocean that is often overlooked. Dr. Lisa Levin, a professor and researcher at the Scripps Institution of Oceanography at the University of California San Diego agrees. "We've seen so little, we've explored and sampled so little of the sea floor. Searching for this plane is a pretty good example of that. The latest on missing Malaysia Flight 370 is bitter-sweet in some respects. On the one hand, should the airliner be deemed lost, it confirms loved ones' worst nightmares. On the other hand, plans for compensation signals some form of closure. http://www.inquisitr.com/1597614/flight-370-latest-missing-jet-to-be-declared-lost-compensation-tba- report/ Back to Top Southwest Airlines Captain Broke Safety Rules Before 2013 New York Accident Pilot Grabbed Controls Shortly Before Plane Crash-Landed at La Guardia On July 22, 2013, a Southwest Airlines jet crash-landed at La Guardia Airport in New York City. By ANDY PASZTOR A Southwest Airlines Co. jet crash-landed on a runway at New York City's La Guardia Airport in July 2013 after the captain unexpectedly pulled back engine power while the co-pilot was still flying the aircraft, according to federal investigators. Documents released by the National Transportation Safety Board at the end of October indicate the captain unilaterally put the engines essentially into idle at the wrong instant-causing the Boeing 737's nose to drop sharply-without warning as she placed her hand on the co-pilot's hand, which was still on the throttles, and moved them. Only seconds after that, with the plane barely 50 feet above the strip, did the captain take the required step to verbalize she was taking over flying responsibilities by telling the co-pilot: "I got it." NTSB documents indicate the captain violated company and industry safety standards, which require pilots to work as a team, and in all cases, they must declare their intentions before taking over controls or changing any flight-control settings. The captain, who was 49 years old at the time of the incident and had more than 7,500 hours behind the controls of a 737, was fired by the carrier about two months later. Her co-pilot, a former fighter pilot and flight instructor for the Air Force who had started flying for Southwest the year before, was retrained and has returned to flying status. Nine people sustained minor injuries in the crash landing. The safety board also revealed that about three years earlier, the captain was ordered to undergo remedial company training for her leadership style. According to interviews released by the safety board, the move was prompted by repeated complaints from first officers about her alleged overbearing attitude in the cockpit. After the training, she returned to her regular flying schedule. The accident seriously damaged the airplane and delayed traffic at the busy New York airport for hours. The captain disputed some of the co-pilot's assertions when she was interviewed by investigators, but the flight-data recorder and other information backed up his version of events. The co-pilot said "he never had a captain pull the throttles back on him" during an approach, according to the NTSB. The material released by the safety board last month doesn't officially determine the cause of the accident, and among other things, the final report is expected to examine Southwest's training and pilot-oversight programs. A spokeswoman for the carrier declined to comment, citing the continuing investigation. The co-pilot told investigators the captain suddenly pulled back thrust without a word and while his hands were still on the throttles-a move contrary to broadly accepted training and cockpit-safety rules. The co-pilot and other Southwest pilots interviewed by investigators said the jet, carrying 150 people from Nashville and approaching a relatively short and wet runway in stormy weather, should have climbed away from the strip for another approach. He also told investigators the captain's actions leading up to the accident-including setting the approach speed into the 737's flight computer on her own-indicated "she was very proactive" and "wanted to spin dials." Typically, the pilot flying asks the other to set such speeds in the computer. Hundreds of pages released by the safety board depict an approach that was normal until close to the end. But at roughly 1,000 feet altitude-when the jet should have been configured fully to land-the captain further extended the flaps, or movable panels at the rear of the wings. The crew forgot to extend them to the maximum earlier in the approach. Below 500 feet, with the plane established on the correct glide path, the co-pilot recalled the captain seemed uncomfortable "and was sitting up in her chair and doing a little twisting and turning." At roughly 100 feet, the captain became concerned the aircraft was too high and retarded the throttles. The sudden reduction in thrust, combined with flaps extended further than normal, prompted the nose of the plane to quickly angle downward, according to pilots and other experts interviewed by the NTSB. Instead of landing on the main wheels with the nose pointing slightly upward as required, the nose gear hit first. The force of the impact, amounting to more than three times the plane's weight, sheared off the nose wheel and the plane skidded on its belly for nearly 20 seconds. http://online.wsj.com/articles/southwest-airlines-captain-broke-safety-rules-prior-to-2013-accident-in- new-york-1415508923 Back to Top Delta emergency landing in Birmingham due to in-flight cracked windshield BIRMINGHAM, Alabama -- A Delta Airlines-affiliated flight with 20 passengers made an unscheduled landing in Birmingham this morning due to a cracked windshield on the aircraft, an airline spokesman said. The flight operated by Atlanta-based ExpressJet, which is a Delta Connection carrier, landed at the Birmingham-Shuttlesworth International Airport at 9:18 a.m., ExpressJet spokesman Jarek Beem said in a phone interview. Beem said the issue involved "a cracked windshield" that led to the unplanned landing in Birmingham. "It was a flight that was originally scheduled from Atlanta to Tulsa, and it did safely divert to Birmingham and we accommodated passengers on a replacement aircraft that was sent from Atlanta," Beem said. The airplane was a CRJ-900 that had 20 passengers on board and four crew members, who included two pilots and two flight attendants. He did not know what caused the cracked windshield. "I'm not sure, but I would say that it was probably something that occurred in flight," he said. The pilots immediately located an alternate landing site due to the cracked windshield, he said. "They followed the standard procedure when they discovered that windshield was cracked," he said. "Based on where they were at the time, that (Birmingham site) was probably the nearest suitable airport." http://www.al.com/news/birmingham/index.ssf/2014/11/airlines_in-flight_cracked_win.html Back to Top Boeing 737 Landing Gear Failure (Kabul, Afghanistan) Date: Friday 7 November 2014 Time: ca 16:00 Type: Silhouette image of generic B734 model; specific model in this crash may look slightly different Boeing 737-4Y0 Operator: Ariana Afghan Airlines Registration: YA-PIE C/n / msn: 26086/2475 First flight: 1993-05-10 (21 years 6 months) Engines: 2 CFMI CFM56-3C1 Crew: Fatalities: 0 / Occupants: Passengers: Fatalities: 0 / Occupants: Total: Fatalities: 0 / Occupants: Airplane damage: Substantial Location: Kabul Airport (KBL) ( Afghanistan) Phase: Landing (LDG) Nature: Domestic Scheduled Passenger Departure airport: Herat Airport (HEA/OAHR), Afghanistan Destination airport: Kabul Airport (KBL/OAKB), Afghanistan Flightnumber: 252 Narrative: A Boeing 737-400 operated by Ariana Afghan Airlines as flight 252 from Herat to Kabul suffered a right hand main landing gear failure on landing. The airplane came to rest with the nr.2 engine on the runway. All aboard were evacuated on the runway. www.aviation-safety.net Back to Top Boeing Gets $8.5B Order For 80 737 MAX Jets From Japan's SMBC Aviation Capital A computer rendering of the Boeing 737 MAX 200. The Boeing Co. Japan's SMBC Aviation Capital Ltd., an aircraft leasing company, said Monday that it will buy 80 737 MAX planes from The Boeing Co. in a deal worth more than $8.5 billion at list prices. The latest order, which will help cater to the growing demand for air travel in Asia, is the largest one by any leasing company for the narrow-body jet's upgraded version. The 737 MAX is best suited for short- and medium-haul flights and both companies said that the deal will help grow demand for the planes among low-cost carriers. SMBC has now become the fiftieth customer for the 737 MAX, which was launched in August 2011. Since then, the jet has secured more than 2,400 orders, including an $11 billion order from Ryanair in September. SMBC Capital is controlled by Tokyo- based Sumitomo Mitsui Financial Group, Inc. The plane features a new engine developed by CFM, a joint venture between New York-based General Electric Co and French firm Snecma. The new engine is claimed to make the single-aisle jet 14 percent more fuel-efficient than current models of the 737 that Boeing makes. According to an estimate by the airplane maker, airline companies will need more than 25,600 single-aisle jets over the next 20 years. Chicago-based Boeing, which has been operating in Japan for the past 60 years, considers the country to be one of its strongest markets. Japanese customers have bought more than 1,000 Boeing airplanes, including models like the 737, the 747-8 wide-body jet, the 777 series, the 787 Dreamliner, 737 MAX and the 777X, the statement said. "Today's announcement from a top leasing company is a vote of confidence in our 737 MAX and helps SMBC Aviation Capital capture the strong demand in the single-aisle market," Boeing Commercial Airplanes President and CEO Ray Conner, said in the statement. http://www.ibtimes.com/boeing-gets-85b-order-80-737-max-jets-japans-smbc-aviation-capital-1721363 Back to Top Back to Top Pre-Conference Workshop: Thursday, January 15th: Investigations in support of Safety Management Systems (SMS): The International Civil Aviation Organization (ICAO) defines SMS as "A systematic approach to managing safety, including the necessary organizational structures, accountabilities, policies and procedures." Most Civil Aviation Authorities support the implementation of SMS in aviation training organizations and service providers. Many also include the provisions for a Safety Manager within those safety programs. This workshop will investigate the attributes of a supportive Safety Culture along with the competencies and skill-sets required of the Safety Manager to appropriately collect, analyze and take actions on safety information. The outcomes of this workshop will be assembled and distributed to participants in order for their consideration for inclusion into existing and future aviation programs and curricula. Workshop Leaders: Stewart Schreckengast, PhD, Senior Lecturer, Aviation Department, University of South Australia & Douglas Drury, PhD, Senior Lecturer, Aviation Department, University of South Australia are hosting. Free conference add on- but space is limited. Sponsored by the Robertson Safety Institute Registration Back to Top Call for Papers Issued for 2015 CHC Safety & Quality Summit in Vancouver * ?Integrated Safety Mangement Systems' is Theme for Leading Aviation-Safety Event Nov. 06, 2014 - Vancouver, British Columbia, Canada-The call is out for papers that will characterize the 2015 edition of the world's most influential helicopter-safety conference. Industry and safety professionals interested in presenting at the CHC Safety & Quality Summit may now submit abstracts for the event. The 11th-annual summit will be held March 23-25 at the Westin Bayshore Resort in Vancouver. Last year's event drew more than 850 delegates from some 25 countries. The CHC Safety & Quality Summit is hosted by CHC Helicopter, the operating company of CHC Group Ltd. (NYSE: HELI). The 2015 summit will explore topics relevant to the theme "Integrated Safety Management Systems: Access All Areas." and how the principles and practices of the SMS can be effectively integrated into all areas and levels of an organization. Most sessions during the three-day conference will be for 90 minutes, though some subjects may span one-half of or an entire day. Attendance at individual sessions typcially numbers 50 or more people. The submission form for papers is available at www.chcsafetyqualitysummit.com. Confirmed speakers for the summit already include some of the industries leading thinkers and practitioners; more names will be added shortly: * Drs. Scott A. Shappell and Douglas A. Wiegmann, co-developers of the Human Factors Analysis and Classification System, HFACS Inc. * Dr. Steve Jarvis, co-founder Jarvis Bagshaw Ltd. PhD and MSc degrees in aviation safety and human factors. * Tony Kern, chief executive officer and founder of Convergent Performance, LLC. * Dr. Graham Braithwaite, head, Department of Air Transport, Cranfield University. * And Dr. Bill Rankin, award winning safety specialist with experience in maintenance error decision aid (MEDA), maintenance human factors training, and ramp line operations safety assessment (Ramp LOSA). Submissions should include proposed session titles, descriptions or outlines, objectives and audience benefits, presenter bibliographies, and contact details. Relevant topics may include: * Integrity and Management * Compliance Monitoring * Technology and Safety Methods of Training * Crisis Management * Organizational Leadership and Viability * Fatigue Risk Management * Human Factors * Risk Assessment and Hazard Management * Human Error Management * Flight Data Monitoring * HUMS * Organizational Causes of Accidents * Sustaining and Improving Industry Safety * Management System for Reducing Safety Risk and Business Risk * Safety Management Tools * Crew Resource Management * Practical Tools Please send all submissions to Barbara.Long@chc.ca Back to Top 2014 ISASI Jerome F. Lederer Award Winner David F. King has been awarded the prestigious 2014 Jerome F. Lederer Award by the International Society of Air Safety Investigators (ISASI) at their annual ISASI International Accident and Investigation Seminar in Adelaide, Australia on October 16. The award is for "Outstanding contributions to technical excellence in accident investigation" and recognizes Mr. King's continuing achievement and devotion to aviation safety. 'Jerry' Lederer's aviation lore stretches back to the time of wooden wings and iron men when he joined the U.S. Air Mail Service in 1926 at Maywood, Ill., as an aeronautical engineer. His aviation safety prowess would become renowned. Along his route to becoming a legend, he became, in 1965, a member of the Society of Air Safety Investigators, forerunner to ISASI, and in 1969 he became the second president of our organization. In time, and in his honor, the Society established the Jerome F. Lederer Award. Jerry "Flew West" at age 101 on February 6, 2004. The award was created to honor Mr. Lederer, bestowed as the "Father of Aviation Safety" by Congress in 1997. Mr. King has devoted his long career to the safety of aviation, starting as an aeronautical engineer before joining the UK Air Accidents Investigation Branch in 1972. During his time at the Branch, He rose to the coveted role of Chief Inspector until his retirement in 2010. He is presently a Trustee of CHiRP - the Charitable UK Trust providing a confidential human factors reporting program for the aviation industry. He has also served as Chair of the UK Maintenance Error Management Systems (MEMS) Group and as President of the European Society of Air Safety Investigators until stepping down in 2012. Mr. King has always placed a strong emphasis on the education of other investigators and safety professionals. He is the only person to have taught on the Cranfield University Aircraft Accident Investigation course since its inception in 1977. He is now a Visiting Professor of the University and continues to teach regularly, inspiring the future generations of investigators from around the world. He has made significant contributions to the understanding of the practicalities of human error and has helped to raise the issue of human factors. For his work in this area, He was awarded an Honorary Doctorate of Engineering from Kingston University, UK. Recipients of the ISASI Jerome F. Lederer Award: 2013 - Frank S. Del Gandio and Myron P. "Pappy" Papadakis 2012 - Dr. Curt Lewis 2011 - Paul-Louis Arslanian 2010 - Michael Poole 2009 - Capt. Richard B. Stone 2009 - Australian Transport Safety Bureau 2008 - Don Bateman 2007 - Tom McCarthy 2006 - Richard H. Wood 2005 - John D. Rawson 2004 - Ron Chippindale (deceased 2/12/08) 2003 - Caj Frostell 2002 - Ronald L. Schleede 2001 - John Purvis and The Transportation Safety Board of Canada 2000 - Nora Marshal 1999 - Capt. James McIntyre (deceased 11/19/01) 1998 - A. Frank Taylor 1997 - Gus Economy 1996 - Burt Chesterfield 1995 - Dr. John K. Lauber 1994 - U.K. Aircraft Accidents Investigation Branch 1993 - Capt. Victor Hewes 1992 - Paul R. Powers 1991 - Eddie J. Trimble 1990 - Olof Fritsch 1989 - Aage A. Roed (deceased 1/25/03) 1988 - H. Vincent LaChapelle 1987 - Dr. Carol A. Roberts 1986 - Geoffrey C. Wilkinson 1985 - Dr. John Kenyon Mason 1984 - George B. Parker 1983 - C.O. Miller (deceased 10/20/03) 1982 - C.H. Prater Houge 1981 - Dr. S. Harry Robertson 1980 - John Gilbert Boulding 1979 - Gerard M. Bruggink 1978 - Allen R. McMahan 1977 - Samuel M. Phillips www.isasi.org Back to Top Upcoming Events: IASS 2014 Abu Dhabi, UAE November 11-13, 2014 http://flightsafety.org/meeting/iass-2014 ERAU SMS Seminars Daytona Beach, FL Nov. 17-18 & 19-21, 2014 www.erau.edu/sms ICAEA-ANAC-CIPE Aviation English Workshop. Buenos Aires, Argentina. International Civil Aviation English Association Workshop, hosted by Argentina ANAC and CIPE. "Skills and competencies needed in aviation communications: The Latin American Challenge." Open to anyone interested in aviation English. Nov. 20-21, 2014. www.icaea.aero 2014 Global FOD Prevention Conference Birds, Bolts, Budgets - Tracking the Dangers of Foreign Objects and What We Can Do About It Reagan National Airport 2 December 2014 www.stopfod.com ERAU UAS FUNDAMENTALS COURSE December 9 - 11, 2014 ERAU Daytona Beach Campus, FL www.daytonabeach.erau.edu/uas Event: "The Future of Regulation of SMS and QA" Symposium. Keynote: Mr. Martin Eley, Director General Transport Canada. Location: Coronado Resort Hotel @ Disney World, Orlando Florida. Date: Jan 4-6, 2015 info: http://www.dtiatlanta.com/symposium.html A3IR CON 2015 January 16-17, 2015 Phoenix, AZ http://commons.erau.edu/aircon/2015/ Air Charter Safety Foundation (ACSF) NTSB Training Center, Ashburn, VA March 10-11, 2015 www.acsf.aero/symposium FAA Helicopter Safety Effort three-day safety forum April 21-23, 2015 Hurst, Texas eugene.trainor@faa.gov www.faahelisafety.org IS-BAO Workshop Information and Registration 12 - 13 Nov. 2014 Omaha, Nebraska USA 18 - 19 Nov. 2014 Houston, TX USA 2 - 3 Dec. 2014 Orlando, FL USA 6 - 7 Dec. 2014 Dubai, UAE 13 - 14 Jan. 2015 Baltimore, MD USA https://www.regonline.com/CalendarNET/EventCalendar.aspx?EventID=1592658&view=Month Curt Lewis