Fatal Accidents (1), a Guimbal Cabri on 20/06/22, both pilots died. GASCo extends its sincere condolences to the families and friends of the pilot and passenger.
Engine
Failures (14). For the second
time, a DA42 a DA42 failure carries the observation that being a twin engine
aircraft it is quite capable of flying on one engine and therefore no
investigation will be carried out. The
cause of any engine failure is worth investigating and they have contributed to
a number of MEP accidents. The number of
failures on this aircraft/engine type may warrant in depth investigation.
Hard
landings with Damage (12). One involved serious injury and two of were gliders.
Runway
Excursions Including Overruns ((8). It would be intriguing to know how a student
returning to base after a navex came to land on a runway with only 150m available.
Runway
Incursions (7).
Take-off
Without Clearance (2).
Failure
to Comply with ATC Clearance (4)
Maintenance
Reports (7).
ATC
Coordination (3). There are monthly reports of flight plans that cannot be found or IFR
clearances given with no onward coordination. A problem between Oxford and Bristol is identified in this regard and it
seems that one unit did not reply to calls due to controller handover.
Wrong
Runway (2).
Retractable
Gear Collapsed After Landing (2)
Tyre
Failure (1). An improvement
on previous months, regular tyre pressure checks are really worth doing.
Door/Canopy/Window
Open.(3). This author recommends that when a side
opening door is not latched, leave it. Fly a normal departure as planned. If time and airspace permit, there may be a procedure for closing it but
may be better to leave it until after landing.
Airprox Reports (7).
Airspace
Infringements (135).
There are many contributory
factors, those in which a systemic correction would reduce the incidence are
annotated S.
London FIS (7). S. Basic
service with the FIR is often not appropriate and pilots may not always be
aware of the limitations of this service.
GPS / Sky Demon
Route entered incorrectly (3). This is easy to do. Two cases illustrate over dependence on the
magenta line and insufficient thought given to the track and heading required.
Misread chart and or
Sky Demon (11). S. This usually refers to bases of CAS in
cluttered areas.
Altimetry (3). A student misread the altimeter by 1,000ft
and another aircraft flew an instrument approach with 1013 still set.
Altimeter Scan (11). It seems likely that in these cases where
altitude has changed inadvertently the pilot did not scan the altimeter and VSI
frequently enough. Lookout, attitude,
instruments.
Take 2, or 3 even
better (2). Flying too close to the
base in both cases, this is an improvement on previous months so the message
may slowly be getting across.
Level Off or
Climbing too Soon (12). The first is
a basic skill, exercise 7, attitude, power, trim, which is not always applied correctly. The aircraft will tend to
climb slowly when the pilot thinks it is level and fails to cross check altimeter
and VSI. The second occurs following
flight beneath CAS with the intention of climbing when clear.
Descending too Late (1)
only.
Comms Failure (2). Even if it’s just a headset or
socket fault, rectification is usually time consuming and distracting.
Transponder Overreading (4). S. In one case, the pilot knew of the fault before flying beneath CAS in
the London area. It is necessary to
discover why these errors occur and correct the situation. Apart from the infringement reports they
generate, erroneous Mode C signals could cause erroneous TCAS RA’s, so there is
a real safety issue. One can imagine
that that there are an equal number of erroneous signals reading too low, which
do not usually generate reports.
Frequency Congestion (5). S. This
often contributes to ATZ infringements by joining aircraft.
Flight Planning (4).
Distraction (9),
ranging from test flight, heli training OPC, avoiding turbulence, passenger
comfort, looking for traffic, diversion due weather and instructing. In one case the instructor was carrying out
climbing and descending, exercises beneath a base of 3,000ft and laterally very
close to other boundaries; not perhaps the ideal location for that exercise.
One aircraft flying north to south in the
morning planned to fly above scattered cloud at 4,000-5,000ft but kept climbing
to stay above cloud, until infringing a base of FL060. It is worth noting that at 0900 cloud tops
may be 3,000-4,000ft but as the morning progresses the tops usually rise
several thousand feet.
Wrong Squawk (12) S. All are classed as infringements although the aircraft did not enter
CAS, all occurred in the Manchester LLR (7) or Stansted TMZ (5). Some were aircraft inbound to Barton who
changed frequency and squawk marginally too soon in the vicinity of Warrington.
Glider infringements (5)
Not Listening Out on Appropriate Frequency (Numerous) S.
Danger Areas (2) S.
Blackbushe Circuit (2) S.
Foreign Pilots. S. Our airspace should be easily
understood by all pilots and as standardised as possible. Two such pilots make interesting comparisons with
Europe in their reports.