TSB Canada Report Points To Misfueling In Off-Airport Landing | Aero-News Network
Aero-News Network
RSS icon RSS feed
podcast icon MP3 podcast
Subscribe Aero-News e-mail Newsletter Subscribe

Airborne Unlimited -- Most Recent Daily Episodes

Episode Date

Airborne-Monday

Airborne-Tuesday

Airborne-Wednesday Airborne-Thursday

Airborne-Friday

Airborne On YouTube

Airborne-Unlimited-05.13.24

Airborne-NextGen-05.14.24

Airborne-Unlimited-05.15.24 Airborne-AffordableFlyers-05.16.24

Airborne-Unlimited-05.17.24

Thu, Sep 08, 2016

TSB Canada Report Points To Misfueling In Off-Airport Landing

Plane With Eight On Board Went Down Shortly After Takeoff

A Transportation Safety Board of Canada (TSB) investigation report (A15C0134) released Tuesday shows that the use of an incorrect fuel type led to a forced landing in a forest near Thompson, Manitoba, in September 2015. The occupants sustained varying serious injuries.

According to the report, on September 15, 2015 at 1817 Central Daylight Time, a Keystone Air Service Ltd. (Keystone) Piper PA-31-350 departed Thompson Airport on an instrument flight rules flight to Winnipeg/James Armstrong Richardson International Airport with two pilots and six passengers on board. Shortly after takeoff, both engines began to lose power. The crew attempted to return to the airport, but the aircraft was unable to maintain altitude. The landing gear was extended in preparation for a forced landing on a highway southwest of the airport. However, because of vehicle traffic, the crew chose to conduct the forced landing in a forested area next to the highway.

The investigation found that the aircraft had been fueled with the incorrect type of aircraft fuel. The piston-engined Piper PA-31-350 requires AVGAS, but it was refuelled with Jet-A1 fuel, which is used for gas turbine engines. The incorrect fuel caused a loss of power from both engines, and made it necessary for the crew to conduct a forced landing. A number of defenses implemented to prevent such fuelling errors failed. In particular, a flared spout, meant for use on Jet-A1 fuel filler openings, was replaced with a spout to enable the delivery of Jet-A1 fuel into the PA-31's smaller fuel tank openings. The fuelling operations were also not adequately supervised by the flight crew, and the fuel slip indicating that Jet-A1 fuel had been delivered was not available for their review.

Following the occurrence, an urgent memo by Keystone's management was circulated to all its pilots, reiterating the importance of crew supervision of aircraft fuelling in compliance with the company's operations manual.

A post-accident inspection conducted by Transport Canada (TC) revealed safety concerns that resulted in the suspension of Keystone's air operator certificate. TC subsequently conducted an in-depth review of Keystone's aviation safety record and cancelled its air operator certificate, citing public interest and the company's aviation safety record.

(Source: TSB news release. Image contained in report)

FMI: Full Report

Advertisement

More News

ANN's Daily Aero-Term (05.16.24): Instrument Runway

Instrument Runway A runway equipped with electronic and visual navigation aids for which a precision or nonprecision approach procedure having straight-in landing minimums has been>[...]

ANN's Daily Aero-Linx (05.16.24)

Aero Linx: Alaska Airmen's Association The Alaska Airmen's Association includes over 2,000 members—we are one of the largest General Aviation communities in the country. We s>[...]

Airborne 05.15.24: Ghost Sq MidAir, B-2 Junked, Dream Chaser Readies

Also: Flt School Security, G600 Steep-Approach, Honduran Aid, PW545D Cert Two aircraft performing at the Fort Lauderdale Air Show clipped wings during a routine last Sunday, spooki>[...]

Airborne 05.10.24: Icon Auction, Drunk MedEvac Pilot, Bell ALFA

Also: SkyReach Parts Support, Piper Service Ctr, Airliner Near-Miss, Airshow London The Judge overseeing Icon's convoluted Chapter 11 process has approved $9 million in Chapter 11 >[...]

Airborne Affordable Flyers 05.16.24: PRA Runway, Wag-Aero Sold, Young Eagles

Also: Paramotor Champ's, Electric Ultralight, ICON BK Update, Burt Rutan at Oshkosh! The Popular Rotorcraft Association is reaching out for help in rebuilding their private runway >[...]

blog comments powered by Disqus



Advertisement

Advertisement

Podcasts

Advertisement

© 2007 - 2024 Web Development & Design by Pauli Systems, LC