Fatal Accident (4) inc 3 gliders.
Airprox Reports (16), including near miss and TCAS RA.
Occurrence Reports
Engine
Failures (16), 8 Lycoming, 2 Austro diesel, 2 Rotax, 1
Continental, 3 other.
Fuel
Exhaustion (0), 2 low fuel diversion.
Landing
Accidents (10), 4 of which were student solo.
Take-off
Accidents (3)
Runway
Excursions (4)
Runway
Incursions (3)
Tyre
Failures (2)
Landing
Gear (4) Landed gear up (1), approached with gear up (3),
collapsed (1), indication (1).
Flap
Failure (3)
Maintenance
Reports (17)
Tech
Failures Following Maintenance ()
Taxiing
Events (5)
Taxi
with tie-down weights attached (-)
Loss
of Coms (2)
IFR
Level Bust (6)
VFR
Level Bust (3), exceeding not above altitude.
Part
Fell Off in Flight (1), filler cap. .
Hatch/Door
Opened in Flight (3) including glider canopy and engine cowling.
Cockpit
Smoke/fumes (1) fuel, CO warning (4) repetitive defect.
Alternator
Failure (1), leading to loss of avionics and comms.
ATC
Coordination of IFR GA Flights (4)
Fuel
Leak (1),
Bird
Strike (1) Broken windshield.
Landed
without clearance (3)
Airspace Infringements (82)
T indicates areas where training could be improved effectively. S suggests that systemic improvements could be implemented.
In 7 cases IFR traffic was
affected i.e. delayed, descent stopped or vectored around the infringer. .
The relative navigation factor is used for cases where either the
believed vertical and horizontal position of the aircraft or the perceived
location of the proscribed airspace was in error. This may be termed situational awareness with respect to
controlled airspace boundaries.
Airspace categories affected
were:
Class No -------------------------------------------------
TMA A 12
CTA D 24
CTA
Base 1500ft D 7
CTR D 1 To/from
an AD wholly or partly within a CTR
TMZ G 7 All
Stansted a/c not squawking mode C
RMZ G -
ATZ G 9 Inc
glider and para sites
Danger
area G 2
RAT G 1
Various contributory factors were:
Inadequate planning.(3).T
Weather Factors, inc turbulence (4)
Transponders Mode C faulty or over reading (1). S
Lack of Knowledge (-),T
Take Two (2). T
Misidentified surface features, lateral navigation error or misread the moving map (3).
Relative navigation (7)
Confusion of CAS bases (10), including moving map presentation. S
Chart obscuration (5) cases reported or indicated
Altimetry (3), all due use of QFE beneath CAS.S
Climbed too soon (2)
Descended too late (1)
Manchester LLR (0)-, great improvement .S
North Weald Departures/ Arrivals (4). S
Moving map failure (1+1), due link with Pilot Aware + 1 not used. S
Farnborough CTR/CTA (4) S
1,500ft base (7) S
Distractions:- Workload (?), instructing or task (2), tech problems (4), passengers (-)
Instrument scan (2). Lookout, Attitude, Instruments, particularly altimeter and VSI. Altitude keeping errors are often caused by failing to observe these instruments frequently T.
Frequency Monitoring Code not used or pilot not listening (5) T.
London FIS (6). Guidance as to when this service might be useful is required. S & T.
Glider infringements (2)
Misunderstood clearance (1)