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Air Charter Safety Symposium Developing a Healthy Safety Culture

Air Charter Safety Symposium Developing a Healthy Safety Culture Presented by Pete Devaris Federal Aviation Administration Office of Accident Investigation Safety Analysis Branch. Accidents & Fatal Accidents On-Demand Part 135 Operators, 1983-2007. Total Accidents.

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Air Charter Safety Symposium Developing a Healthy Safety Culture

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  1. Air Charter Safety Symposium Developing a Healthy Safety Culture Presented by Pete Devaris Federal Aviation Administration Office of Accident Investigation Safety Analysis Branch

  2. Accidents & Fatal Accidents On-Demand Part 135 Operators, 1983-2007 TotalAccidents FatalAccidents

  3. Accidents by Helicopter & Fixed-Wing On-Demand Part 135 Operators, 1983-2007 Fixed-Wing Helicopter

  4. Accidents by Type of Mission On-Demand Part 135 Operators, 1983-2007 Traditional Passenger Cargo All Other Traditional Passenger Ops Other “Other” includes air tours, Medevac, Off-Shore Energy Industry, etc.

  5. Accidents by Type of Mission On-Demand Part 135 Operators, 1983-2007 Traditional Passenger Cargo All Other Traditional Passenger Ops Other “Other” includes air tours, Medevac, Off-Shore Energy Industry, etc.

  6. Fatal Accidents by Type of Mission On-Demand Part 135 Operators, 1983-2007 Traditional Passenger

  7. Fatal Accidents by Type of Mission On-Demand Part 135 Operators, 1983-2007 Traditional Passenger

  8. Fatal Accidents by Type of Mission On-Demand Part 135 Operators, 1983-2007 Cargo Traditional Passenger

  9. Fatal Accidents by Type of Mission On-Demand Part 135 Operators, 1983-2007 Cargo Traditional Passenger

  10. Fatal Accidents by Type of Mission On-Demand Part 135 Operators, 1983-2007 Cargo Other Traditional Passenger

  11. Fatal Accidents by Type of Mission On-Demand Part 135 Operators, 1983-2007 Cargo Other Traditional Passenger

  12. Fatal Accidents Trends by Type of Mission On-Demand Part 135 Operators, 1983-2007 Cargo Other Traditional Passenger

  13. Accidents by Type of Mission On-Demand Part 135 Operators, 2003-2007 All Other Other Cargo Traditional Passenger Traditional Passenger Ops

  14. Fatal Accidents by Type of Mission On-Demand Part 135 Operators, 2003-2007 Other Cargo Traditional Passenger Traditional Passenger

  15. Accidents & Fatal Accidents by Mission, On-Demand 135, CY 2003-2007 All Accidents Fatal Accidents

  16. Accidents & Fatal Accidents, “Other” Missions, On-Demand 135, CY 2003-2007 All Accidents Fatal Accidents “Miscellaneous” includes some Part 135 pipeline observation, 135 traffic reporting, 135 news operations, etc.

  17. Accidents & By Power PlantOn-Demand 135, CY 2003-2007 Single-Recip Helicopter Single-Turbine Helicopter Twin-Turbine Helicopter (Off-shore Energy) Single-Turboprop Twin Turboprop Twin-Recip Airplane Single-Recip Airplane Turbofan/Jet “Miscellaneous” includes some Part 135 pipeline observation, 135 traffic reporting, 135 news operations, etc.

  18. Accident & Fatal Accident Rates by Power Plant On-Demand 135, CY 2004-2007 (4 Years)(Per 100,000 Flight Hours)

  19. Alaska as Percentage of Accidents, On-Demand 135Past 5 Years Versus Preceding Decades Total Total Total Fatal Fatal Fatal

  20. Accident Types, On-Demand 135CY 2003-2007

  21. Accidents & Fatal Accidents by Accident Types, On-Demand 135, CY 2003-2007

  22. 2/2/05: Platinum Jet at Teterboro. Near max weight & C-G substantially forward (no weight & balance), & inadequate trim. Could not rotate on 6,000-foot runway. Overran at 160 knots, through turf & fence, across major road & into building. All 15 occupants survived; 13 serious. Untrained “flight hostess” did not know how to open the door, then left the scene. Part 135 operator (Darby) contracted flight to Platinum (non-135 operator) under a “certificate management agreement.” Darby exercised no operational control and neither company followed “rigorous” procedures.

  23. Pinnacle Airlines Part 91 positioning flight, 10/14/04. Two pilots new to RJ lost control at 41,000. When ATC asked about FL410, crew said “we decided to have a little fun and come on up here.” Then reported 1 engine out & asked for nearest airport. At 13,000 reported second engine out. (In fact both failed at FL410); remained in vertical speed mode & mishandled re-start. Issues: professionalism; crew pairing; training & poor understanding of RJ service ceiling .

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