Flight Safety Information November 6, 2018 - No. 225 In This Issue Incident: Brussels A332 near Geneva on Nov 5th 2018, engine shut down in flight Incident: Lingus B752 at Dublin on Nov 4th 2018, electrical issue Fokker 100 - Deflated Tires (Somalia) Data recovered from crashed Lion Air data recorder: official TSB Canada details Boeing 767-300ER uncontained engine failure accident LIBIK Fire Suppression Kits for the Cabin and Flight Deck Irish Aviation Authority reassures on plane safety DeLisi: TEB Crash Spotlights Crew Performance, FDM Need Norwegian Air sells five Airbus 320neo aircraft In China, Female Pilots Strain to Hold Up Half the Sky Business Aviation Safety Consortium (BASC) announces FIRST Safety Dividend DOCTORAL RESEARCH SURVEY Incident: Brussels A332 near Geneva on Nov 5th 2018, engine shut down in flight A Brussels Airlines Airbus A330-200, registration OO-SFZ performing flight SN-359 (dep Nov 4th) from Kinshasa N'djili (DR Congo) to Brussels (Belgium), was enroute at FL400 about 20nm east of Geneva (Switzerland) within French Airspace when the left hand engine (PW4168) emitted a loud bang, the crew received an "ENG1 STALL" warning. The crew shut the engine down, drifted down to FL280 and continued to Brussels for a safe landing about 55 minutes later. Passengers reported a loud bang and streaks of flames from the left hand engine. http://avherald.com/h?article=4bfe4c32&opt=0 Back to Top Incident: Lingus B752 at Dublin on Nov 4th 2018, electrical issue An Aer Lingus Boeing 757-200, registration EI-LBS performing flight EI-131 from Dublin (Ireland) to Hartford,CT (USA) with 137 passengers and 6 crew, was in the initial climb out of Dublin's runway 28 when the crew stopped the climb at FL080 reporting an electrical issue. The aircraft returned to Dublin, the crew advised they would be able to fly an ILS approach and a normal landing, no assistance on the ground was needed. Shortly afterwards the crew advised they would be performing an overweight landing and might encounter hot brakes and asked for emergency services to check the brakes. The aircraft landed safely on runway 28 about 25 minutes after departure. The occurrence aircraft remained on the ground for about 3 hours, then departed again and reached Hartford with a delay of about 3.5 hours. http://avherald.com/h?article=4bfe48c6&opt=0 Back to Top Fokker 100 - Deflated Tires (Somalia) Date: 05-NOV-2018 Time: Type: Fokker 100 Owner/operator: Ocean Air, opb Jetways Airlines Registration: 5N-AIS C/n / msn: 11307 Fatalities: Fatalities: 0 / Occupants: Other fatalities: 0 Aircraft damage: Minor Location: Mogadishu Aden Adde International Airport (MGQ/HCMM) - Somalia Phase: Take off Nature: International Scheduled Passenger Departure airport: Mogadishu Aden Adde International Airport (MGQ/HCMM) Destination airport: Nairobi-Jomo Kenyatta International Airport (NBO/HKJK) Narrative: Ocean Air flight 0E2212, a Fokker 100, suffered a deflated tire after returning to land at Mogadishu Aden Adde International Airport, according to a person involved in the incident. A photo from the incident shows both main landing gear doors were open, almost touching the ground. https://aviation-safety.net/wikibase/wiki.php?id=217321 Back to Top Data recovered from crashed Lion Air data recorder: official Rescuers hand body bags containing the remains of the victims of the crashed Lion Air jet to colleagues upon arrival at Tanjung Priok Port in Jakarta, Indonesia, Saturday, Nov. 3, 2018. The brand new Boeing 737 MAX 8 jet plunged into the Java Sea just minutes after takeoff from Jakarta early on Oct. 29, killing all of its passengers on board. (AP Photo/Fauzy Chaniago) JAKARTA, Indonesia (AP) - Investigators succeeded in retrieving hours of data from a crashed Lion Air jet's flight recorder as Indonesian authorities on Sunday extended the search at sea for victims and debris. National Transportation Safety Committee deputy chairman Haryo Satmiko told a news conference that 69 hours of flight data was downloaded from the recorder including its fatal flight. The Boeing 737 MAX 8 jet crashed just minutes after takeoff from Jakarta on Oct. 29, killing all 189 people on board in the country's worst airline disaster since 1997. The flight data recorder was recovered by divers on Thursday in damaged condition and investigators said it required special handling to retrieve its information. The cockpit voice recorder has not been recovered but searchers are focusing on a particular area based on a weak locator signal. National Search and Rescue Agency chief Muhammad Syaugi said Sunday the search operation, now in its 7th day and involving hundreds of personnel and dozens of ships, would continue for another three days. Syaugi paid tribute to a volunteer diver, Syahrul Anto, who died during the search effort on Friday. The family of the 48-year-old refused an autopsy and he was buried Saturday in Surabaya. More than 100 body bags of human remains had been recovered. Syaugi said the number would continue to increase and remains were also now washing up on land. He said weak signals, potentially from the cockpit voice recorder, were traced to a location but an object hadn't been found yet due to deep seabed mud. Flight tracking websites show the plane had erratic speed and altitude during its 13 minute flight and a previous flight the day before from Bali to Jakarta. Passengers on the Bali flight reported terrifying descents and in both cases the different cockpit crews requested to return to their departure airport shortly after takeoff. Lion has claimed a technical problem was fixed after the Bali fight. Syaugi said a considerable amount of aircraft "skin" was found on the seafloor but not a large intact part of its fuselage as he'd indicated was possible Saturday. He and other top officials including the military chief plan to meet with families on Monday to explain the search operation. The Lion Air crash is the worst airline disaster in Indonesia since 1997, when 234 people died on a Garuda flight near Medan. In December 2014, an AirAsia flight from Surabaya to Singapore plunged into the sea, killing all 162 on board. Indonesian airlines were barred in 2007 from flying to Europe because of safety concerns, though several were allowed to resume services in the following decade. The ban was completely lifted in June. The U.S. lifted a decadelong ban in 2016. Lion Air is one of Indonesia's youngest airlines but has grown rapidly, flying to dozens of domestic and international destinations. It has been expanding aggressively in Southeast Asia, a fast-growing region of more than 600 million people. https://www.yahoo.com/news/indonesia-extends-search-lion-air-victims-debris-080435603.html Back to Top TSB Canada details Boeing 767-300ER uncontained engine failure accident Status: Date: Sunday 26 August 2018 Time: 15:46 Type: Boeing 767-333ER (WL) Operator: Air Canada Rouge Registration: C-FMWV C/n / msn: 25586/599 First flight: 1995-11-21 (22 years 9 months) Engines: 2 Pratt & Whitney PW4060 Crew: Fatalities: 0 / Occupants: 8 Passengers: Fatalities: 0 / Occupants: 257 Total: Fatalities: 0 / Occupants: 265 Aircraft damage: Substantial Aircraft fate: Repaired Location: 31 km (19.4 mls) N of Vancouver International Airport, BC (YVR) ( Canada) Phase: En route (ENR) Nature: International Scheduled Passenger Departure airport: Vancouver International Airport, BC (YVR/CYVR), Canada Destination airport: Dublin Airport (DUB/EIDW), Ireland Flightnumber: 1940 Narrative: A Boeing 767-300 aircraft operated by Air Canada Rouge, was conducting flight ROU1940 from Vancouver, Canada to Dublin, Ireland with 8 crew members and 257 passengers on board. As the aircraft was climbing through 10000 feet shortly after the departure from Vancouver, the flight crew heard a loud bang coming from the number 2 engine (Pratt & Whitney PW4060-3), associated with a power loss and abnormal engine indications. The number 2 engine was brought to idle, and a MAYDAY was declared. The flight subsequently returned to Vancouver where an overweight landing was executed with ARFF on standby. There were no injuries. Following the landing, the Vancouver Airport Authorities detected debris on runway 08R/26L, and closed it to clean it up. An initial visual inspection of the engine revealed extensive damage to the aft-most turbine blades. The inboard aileron and the fuselage just aft of the baggage door were punctured by debris exiting the engine exhaust duct. The engine was sent to the manufacturer for teardown and inspection. The damage was limited to the Low Pressure Turbine (LPT) section, from the stage 4 vanes to the stage 6 turbine blades. https://aviation-safety.net/database/record.php?id=20180826-1 Back to Top Back to Top Irish Aviation Authority reassures on plane safety The Irish Aviation Authority (IAA) has said it has no concerns about the safety of Boeing's 737 Max aircraft, following a crash in Indonesia that killed 189 people. The Indonesian National Transportation Safety Committee said it found evidence of faulty airspeed readings during the last four flights of the doomed Lion Air plane, which crashed into the Java Sea on October 29, minutes after takeoff. The Indonesian safety body has called on the US National Transportation Safety Board and Boeing "to take necessary steps to prevent similar incidents, especially on the Boeing 737 Max, which number 200 aircraft all over the world". Ireland-registered Norwegian Air International, which flies from Cork, Dublin, and Shannon to the US, said last month that it has taken delivery of four Boeing 737 Max 8 aircraft, and 12 this year. The narrow-body jets have been beset by delays. Boeing warned in August of delays in fuselages and engines from suppliers. The world's largest planemaker has delivered just under 220 of the 737 Max aircraft ordered by airlines, it has said. Boeing has not commented on the comments from the Indonesian authorities following the fatal crash. However, the IAA said it had no fears over the safety of the aircraft, adding that Irish aviation standards were ranked among the best in the world. A spokesman said: "We are fully aware of this incident, which remains under investigation by the appropriate civil aviation authorities in Indonesia. As the authority responsible for the safety regulation of the civil aviation industry in Ireland, the IAA regulates Irish-registered airlines using the highest international standards as set out by the International Civil Aviation Organisation and the European Aviation Safety Agency "In fact, Ireland is ranked amongst the best in the world for overall civil aviation safety oversight. In an annual International Civil Aviation Organisation and the European Aviation Safety Agency ranking process in 2017, Ireland ranked second in Europe and fifth in the world, ahead of countries such as the US, Germany and the Netherlands." https://www.breakingnews.ie/business/irish-aviation-authority-reassures-on-plane-safety-883441.html Back to Top DeLisi: TEB Crash Spotlights Crew Performance, FDM Need The National Transportation Safety Board is expected to highlight pilot performance and professionalism, along with a need for flight data monitoring, early next year as it reviews the May 15, 2017 crash of a Learjet 35A operated by Trans-Pacific Jets at New Jersey's Teterboro Airport (TEB). Both crewmembers, on a repositioning flight from Philadelphia, were killed during the accident at 3:29 p.m. EDT as they were attempting an ILS Runway 6 circle-to-land to Runway 1 approach into TEB. While the Board has not yet made public its probable cause nor issued findings, NTSB Office of Aviation Safety director John DeLisi last week at the Bombardier Safety Standdown provided a review of some of the factors uncovered during the investigation, including that the second-in-command was the flying pilot of the accident flight. Trans-Pacific Jets had rated the second-in-command as an "SIC 0," DeLisi said, meaning that person did not yet have the experience to control the airplane. "Yet he was flying the airplane," he added. DeLisi questioned the Part 91 positioning flight from the beginning, noting that for the distance from Philadelphia to Teterboro the captain had filed a flight plan for 27,000 feet. "It's a short flight. The maximum altitude that ATC cleared him to was 4,000 feet," he said. "What was that captain thinking? Where was his head?" While pilots will file for more standard flight altitudes over shorter flights (the FAA preferred route from PHL to TEB has an altitude of 4,000 feet), in this case the captain showed dismay about the clearance. During the 30- minute cockpit voice recorder reading, the captain had muttered 131 expletives, DeLisi said, 115 of which involved the "F-bomb." "This captain would say things like: 'What the bleep; we're a bleeping Learjet; get us bleeping higher; we won't bleeping make it if we got 4,000; she's a bleeping idiot; get us someone else if she can't do it,'" DeLisi said, substituting the expletive with bleeping. "That's the tone he set on what essentially was a training flight for an SIC 0 who is not yet even ready to fly the airplane," he said, adding that at the end of the CVR readout, "the first officer is so far behind, he's confused about what they are flying and where they are. The captain doesn't have situational awareness...They are way behind the airplane." The circling approach is a common one at Teterboro where aircraft line up for Runway 6 and then circle around to Runway 1 with first a right turn out and then a left turn back toward Runway 1. The approach enables aircraft to navigate through the complex airspace in the New York region. But on the accident flight, the aircraft, N452DA, was late on the initial right turn. According to the NTSB report, ATC cleared the flight to descend to 3,000 feet at 3:15 p.m. The New York Tracon cleared the flight for the circling approach, instructing the flight to contact TEB ATC about nine miles from the airport. However, the flight did not check in until about four miles from the airport. The tower controller cleared the aircraft to land on Runway 1 and relayed winds were 320 degrees at 16 knots, gusting to 32 knots. According to radar track data, the flight did not start its right circling turn until it was less than a mile from the approach end of Runway 6. Typically, that turn begins at the final approach fix for Runway 6, about 3.8 nm from the approach end. A controller observed the airplane bank hard right to the point where the wings were almost perpendicular to the ground and then level out for a second or two before the left wing dropped, showing the entire top of the airplane, NTSB said. Toward the end of the cockpit voice recording, the captain tells the first officer to "watch your airspeed" and the first officer responds "your flight controls." DeLisi noted, "He gives up the airplane. They are on final approach cleared to land, and they haven't begun to make the circle maneuver." At this time the enhanced ground proximity warning system begins to sound alerts and the SIC again asked to hand over the controls. This time the captain acknowledges it, but the Learjet stalls shortly afterward, crashing into a building and a parking lot. Subsequent investigation revealed histories of failed checkrides and firings from former employers for the crew, DeLisi said. The accident also spotlights a lack of requirement for flight data monitoring or safety management systems for Part 135 operators, he said. It also shows a need for Part 135 operators to monitor pilots for performance issues, "but in the absence of flight data monitoring, you don't know how the airplane is being flown," DeLisi added. He also brought up one other issue to the Safety Standdown audience: "In the era of a pilot shortage, if you do come across a crewmember who presents themselves well... but that may have had some deficiencies previously...set up a performance monitoring program." Such a program, he said, should include remedial coaching. The NTSB had expected to address this accident next month but has since pushed off its Board meeting until early next year, likely in February. https://www.ainonline.com/aviation-news/business-aviation/2018-11-05/delisi-teb-crash-spotlights-crew- performance-fdm-need Back to Top Norwegian Air sells five Airbus 320neo aircraft OSLO (Reuters) - Budget airline Norwegian Air (NWC.OL) has agreed to sell five Airbus 320neo aircraft as a part of its plan to ease capital commitments and strengthen its balance sheet. The aircraft, which will be delivered in the fourth quarter of 2018, are currently leased out and not operated by Norwegian Air, the company said on Friday. "Sale proceeds will be used to repay debt and to increase the Company´s liquidity," Norwegian Air said. Liquidity is expected to increase by $62 million after the repayment of debt, it said. Norwegian Air has committed to buying 210 new aircraft from Boeing(BA.N) and Airbus(AIR.PA) by 2020 and has said as many as 140 planes could be sold over time as a part of the renewal of its fleet and to help reduce debt. Norwegian Air said last week it is in advanced talks with an unnamed partner on a fleet joint venture and hopes to give more information before the end of the year. Europe's third-largest budget carrier by passenger numbers has grown rapidly, but fast growth has left it under pressure to control costs and shore up its balance sheet. https://uk.reuters.com/article/uk-norweg-air-shut-fleet-sale/norwegian-air-sells-five-airbus-320neo-aircraft- idUKKCN1N712F Back to Top In China, Female Pilots Strain to Hold Up Half the Sky Captain Han Siyuan, 30, poses in the cockpit of Spring Airlines' Airbus A320 before taking off at Hongqiao International Airport in Shanghai, China, Oct. 18, 2018. SHANGHAI - When Han Siyuan first decided to apply for a job as a pilot cadet in 2008, she was up against 400 female classmates in China on tests measuring everything from their command of English to the length of their legs. Eventually, she became the only woman from her university that Shanghai-based Spring Airlines picked for training that year. She is now a captain for the Chinese budget carrier, but it has not become much easier for the women who have come after her. Han is one of just 713 women in China who, at the end of 2017, held a license to fly civilian aircraft, compared with 55,052 men. Of Spring Airlines' 800 pilots, only six are women. "I've gotten used to living in a man's world," she said. Captain Han Siyuan, 30, gets ready before her plane takes off at an office of Spring Airlines in Shanghai, China, Oct. 18, 2018. China's proportion of female pilots - at 1.3 percent - is one of the world's lowest, which analysts and pilots attribute to social perceptions and male-centric hiring practices by Chinese airlines. But Chinese airlines are struggling with an acute pilot shortage amid surging travel demand, and female pilots are drawing attention to the gender imbalance. Chinese carriers will need 128,000 new pilots over the next two decades, according to forecasts by planemaker Boeing, and the shortfall has so far prompted airlines to aggressively hire foreign captains and Chinese regulators to relax physical entry requirements for cadets. "The mission is to start cutting down the thorns that cover this road, to make it easier for those who come after us," said Chen Jingxian, a Shanghai-based lawyer who learned to fly in the United States and is among those urging change. 'Token Efforts' Such issues are not confined to China; the proportion of female pilots in South Korea and Japan, where such jobs do not conform to widespread gender stereotypes, is also less than 3 percent. But it is a sharp contrast to the situation in India, which, like China, has a fast-growing aviation market. But thanks to aggressive recruiting and support such as day care, India has the world's highest proportion of female commercial pilots, at 12 percent. China's airlines only hire cadets directly from universities or the military. They often limit recruitment drives to male applicants and very rarely take in female cohorts. In addition, unlike in other markets, such as the United States, China does not allow people to convert private flying licenses to commercial certificates for flying airliners. Li Haipeng, deputy director of the Civil Aviation Management Institute of China's general aviation department, said many airlines were also dissuaded to hire women by generous maternity leave policies. That has been further aggravated by Beijing's move in 2015 to change the one-child policy, he added. "Male pilots do not have the issue of not being able to fly for two years after giving birth, and after the introduction of the second-child policy, airlines are not willing to recruit and train a pilot only to have her not being able to fly for about five years," he said. He said Air China, China Eastern Airlines and China Southern Airlines had all made some effort to recruit female pilots, adding "nearly all other companies do not." China Eastern and China Southern declined to comment while Air China did not respond to Reuters' requests for comment. Pilots said that hiring decisions were usually left to individual airlines and did not appear to be driven by the country's regulator, the Civil Aviation Administration of China, whose recruitment requirements do not mention gender. Xiamen Airlines, a China Southern subsidiary, told Reuters it offers up to 540 days of maternity leave. It started recruiting female pilots in 2008, and paused for a few years in between before resuming last year. Out of its 2,700 pilots, 18 are women while another 18 are in training. "Allowing more women to become pilots is undoubtedly a good way to supplement (an airline's) flying capability," a spokesman for the carrier said. Persuasion and Publicity The strongest calls for change are coming mostly from Chinese female pilots, thanks to a slew of returnees who learned how to fly while living abroad in countries like the United States. In March, the China Airline Pilots Association (ChALPA) established a female branch at an event attended by pilots from the People's Liberation Army Air Force and local airlines, according to media reports. Chen, the lawyer who also serves as a vice president of the ChALPA's women's branch, said she and others have been trying to spread the word by speaking about the issue at air shows in China. Eventually, she said, the organization hopes to persuade Chinese airlines to adjust their recruitment and maternity policies. Another key obstacle to tackle, she added, was the inability of general aviation pilots to shift to the commercial sector. "It's a systemic issue," she said. "We hope that change can happen in three to five years, but this is not something that is up to us." Captain Han Siyuan, 30, poses with Spring Airlines' Airbus A320 after landing at Hongqiao International Airport in Shanghai, China, Oct. 18, 2018. Others like Han, who in recent months has appeared in Spring Airlines promotional videos, said she hoped the growing publicity would help to raise awareness. "I can't personally give people opportunities," she said. "But I hope that (the publicity) can slowly help open the door for companies or for girls with dreams to fly." https://www.voanews.com/a/in-china-female-pilots-strain-to-hold-up-half-the-sky/4646325.html Back to Top posted on November 5, 2018 12:00 FOR IMMEDIATE RELEASE Business Aviation Safety Consortium (BASC) announces FIRST Safety Dividend One of the initial long-term goals of BASC is accomplished in under two years! Besides being a highly desired partner with world class business flight departments that are achieving excellence in Safety Management and Compliance, BASC was conceptualized to be of high value and ease of budgeting. The Safety Dividend provision was implemented at the founding to give some of the investments of BASC members back to them when able. Although a "for profit" entity, the founder could not find a reason to not share and reward excellence, loyalty, achievement, continuous improvement, and safety culture. Any current BASC full-service member, that has been with the organization for six months or greater, will receive the first Safety Dividend in December 2018! Founder and President Rick Malczynski shared, "This is a great achievement for the BASC membership. We knew from the beginning that having a "killer" program was key, but what we also learned over the years was that treating our end users with respect, honesty, and transparency was the foundation of our previous successes. As a BASC member, we often get labelled as an "industry disrupter," and it is actually one of the highest compliments we receive. It is a pretty cool concept, when you just do your best, work with the smartest professionals in the industry, and treat everyone with respect and compassion...everyone grows together...and has a great time doing it! I could not be more enthused and prouder regarding BASC and what the members have accomplished." Malczynski further commented, "I have to admit, I was nervous about setting a goal of doubling our membership again in 2019. However, the maturation of flight departments realizing a cost/benefit analysis of continuing with IS-BAO is negative, and the path IS-BAO as an organization has chosen, has almost guaranteed us of meeting our 2019 goal! We couldn't be more excited to see what the future holds for BASC members!" Welcome Home! ### About the Business Aviation Safety Consortium (AviationConsortium.com, LLC or BASC): Headquartered in Fort Worth, Texas, BASC serves as a logical partner for SMS, regulatory, and operational excellence verification for high performing business aviation organizations. BASC was founded in 2016 and accepted the first member in January of 2017. For more information, visit http://www.aviationconsortium.com Back to Top DOCTORAL RESEARCH SURVEY My name is Robert Lee. I am a doctoral candidate at Northcentral University. I am conducting a study on employee safety climate in the FBO industry. The purpose of the study is to examine how manager turnover affects safety climate. To be eligible to participate you must be at least 18 years old and be currently employed as a line services professional. The survey should take 10 to 15 minutes to complete. All responses will be confidential and anonymous. Your name and company will not be requested nor linked to you. If you would like to participate, please click on the provided Survey Monkey web link, complete the online informed consent form, and proceed with the questionnaire. SURVEY: https://www.surveymonkey.com/r/6WVY9ZN Your participation is greatly appreciated. Thank you. Robert Lee Doctoral Candidate - Organizational Leadership Northcentral University 352.284.6989 R.Lee2968@o365.ncu.edu Curt Lewis