Tillögur í öryggisátt

Lög um RNSA, 35. gr.

Endurskoðun verklagsreglna vegna heimilda til aksturs og flugtaks þegar tvær flugbrautir eru í notkun

Flug
Nr. máls: M-03614/AIG-27
Staða máls: Lokuð
01.11.2018

Tillaga í öryggisátt

RNSA beinir því til Isavia að fyrirtækið endurskoði verklagsreglur flugumferðarstjóra varðandi heimildar til aksturs í brautarstöðu og heimildar til flugtaks þegar tvær flugbrautir sem skerast eru í notkun. 

Endurskoðun verklags vegna tilkynninga til RNSA

Flug
Nr. máls: M-03614/AIG-27
Staða máls: Opin
01.11.2018

Tillaga í öryggisátt

RNSA beinir því til Blue West Helicopter að fyrirtækið enduskoði verklag sitt til að tryggja að tilkynningar flugslysa og alvarlegra flugatvika á loftförum þess á Íslandi berist án ástæðulausrar tafar til Rannsóknarnefndar samgönguslysa.

Afgreiðsla

Óafgreitt af Blue West Helicopters.

Updating of operator's manual

Flug
Nr. máls: M-03114/AIG-23
Staða máls: Opin
10.08.2017

Tillaga í öryggisátt

The ITSB recommends that Göbler Hirthmotoren KG updates its Operator‘s Manual for Hirth engine 3503 with the correct spark plug information in Table 4.1 of Chapter 6. Specifications – 3503 engine.

Afgreiðsla

Not actioned by Göbler Hirthmotoren KG / Hirth Engines GmbH.

Make the airport at Höfn an entry airport into Iceland

Flug
Nr. máls: M-01514/AIG-12
Staða máls: Opin
25.10.2018

Tillaga í öryggisátt

The ITSB recommends to the Ministry of Transport and Local Government that the airport at Höfn be made an airport of entry into Iceland.

Afgreiðsla

Not actioned by the Ministry of Transport and Local Government.

Instructions for pilots in English on the Icelandic Met Office homepage

Flug
Nr. máls: M-01514/AIG-12
Staða máls: Lokuð
25.10.2018

Tillaga í öryggisátt

ITSB recommends to the Icelandic Met Office that it publishes instructions (in English) that supports pilots on how to use the materials on the Met Office website.

Afgreiðsla

Veðurstofa Íslands leggur til að:

1) Samdar verði leiðbeiningar á ensku um gögnin á ensku flugveðursíðunni og hvernig þau geti nýst ferjuflugmönnum.

2) Samdar verði leiðbeiningar fyrir ferjuflugmenn sem hjálpi þeim að velja hvort betra sé að fljúga til BIEG eða BIHN eftir veðuraðstæðum frá Færeyjum.

Aviation weather also published in English

Flug
Nr. máls: M-01514/AIG-12
Staða máls: Lokuð
25.10.2018

Tillaga í öryggisátt

ITSB recommends to the Icelandic Met Office that it publishes Aviation weather conditions (flugveðurskilyrði) also in English.

Afgreiðsla

This has been actioned by the Icelandic MET Office.

Paramedic as a crew member

Flug
Nr. máls: M-01513/AIG-11
Staða máls: Lokuð
12.06.2017

Tillaga í öryggisátt

It is recommended to the Icelandic transport authority (ICETRA) to consider that a paramedic in an ambulance flight should be defined as a crew member.

Afgreiðsla

Að mati Samgöngustofu getur ítrasta krafa í þessu sambandi verið íþyngjani og erfitt fyrir leyfishafa að framkvæma, enda er t.d. ekki möguleiki að gera kröfu um að reglur um flug-, vakt- og hvíldartíma fyrir áhafnir gildi fyrir lækna og sjúkraflutningamenn.

Samgöngustofa hefur hins vegar ákveðið að gera kröfu til leyfishafa sem sinna sjúkraflugi með flugvélum að læknar og sjúkraflutningamenn verði skilgreindir sem "Medical Passenger / Flight Physician". Þessa skilgreiningu má nú þegar finna fyrir sjúrka- og björgunarflug með þyrlum. Leyfishafar munu þurfa að skilgreina viðkomandi í flugrekstrarhandbók, með hliðsjón af CAT.OP.MPA.155. Þá verði gerð krafa um að leyfishafar skilgreini í þjálfunarhandbók þjálfunarkröfur fyrir viðkomandi og hafi til hliðsjónar EU 965/2012 SPA.HEMS.100 GM1 SPA.HEMS.100(a) eins og á við í rekstri sjúkraflugs með flugvélum.

Re-evaluation of CRM training

Flug
Nr. máls: M-01513/AIG-11
Staða máls: Lokuð
12.06.2017

Tillaga í öryggisátt

It is recommended to the operator to re-evaluate its CRM training.

Afgreiðsla

Since the time of the Accident the company taken a number of measures to analyse, identify risks and mitigate. Effort has been made to keep ICETRA and RNSA abreast of all findings and changes resulting thereof. A number of changes include reconsideration of CRM/Human Factors elements in traininig and the operation as a whole. Changes include, but are not limited to:

  • Company’s Emergency Response plan has been revised and published.
  • A new, yonger model aircraft was purchased, financed and registered. TF-MYA. A factor in the descision was the superior avionics package, including traffic advisory system and terrain awareness functions.
  • The company discarted the practice of conducting every other recurrent training in actual aircraft and in stead opted to conduct all recurrent training in full flight simulators.
  • Normal operating procedures where completely rewritten and operational philosophy redefined to include industry best practices. Outside consultation was sought and used in this process to ensure a broader perspective.
  • Normal checklist system revised based on new operational philosophy and new checklists published.
  • Stricter emphasis placed on procedural adherence and standardization in all training. This effort is ongoing.
  • Effort launched to reiterate that individuality in procedural adherence is not acceptable by management. This effort is ongoing.
  • Training has and will continue to include material aimed at enforcing the relationship between flight standardization, professionalism and safety.
  • IFR/VFR policy has been rewritten and published to make clear under what conditions visual flying is allowed. New policy reviewed in training.

Tvíþátta mæling eldsneytis við fyrirflugsskoðun

Flug
Nr. máls: M-01214/AIG-09
Staða máls: Lokuð
10.08.2017

Tillaga í öryggisátt

RNSA beinir því til flugskólans Keilis að hann endurskoði handbók flugnema í þeim tilgangi að tryggja tvíþátta mælingu og samanburð á eldsneyti við fyrirflugsskoðun.

Afgreiðsla

Flugakademía Íslands hefur samið nýja eldsneytishandbók og hafa tveir starfsmenn verið þjálfaðir af Olíudreyfingu í meðhöndlun eldsneytissins og aðstoðuðu þeir okkur líka við skrif á handbókinni. 

Að auki hefur flugvélahandbók (OM) hefur verið endurskoðuð:

Aircraft type specific,
􀁸 information and data for fuel consumption;
􀁸 detailed instruction on how to use the provided data;
􀁸 unit of fuel measurement;
are to be found in the manual provided by the manufacturer. Refer to the List of aircraft used for training.
For the applicable fuel calculation form, refer appropriate form in Flight Logger
Both, the instructor/examiner and the student/applicant are familiar with the fuel calculation and the actual fuel data of the aircraft used.
As part of the pre-flight planning, the pilot in command/student shall make a careful calculation of the amount of fuel required specific to the intended flight session. In addition, the following shall be taken into consideration:
􀁸 the correct and consistent application of the fuel consumption data including associated unit of measurement as applicable for the concerned aircraft;
􀁸 the actual and forecast meteorological conditions;
􀁸 the planning of an alternative course of action to provide for the eventuality that the flight cannot be completed as planned;
􀁸 possible traffic delays for the anticipated ATC routings and aerodromes;
􀁸 any other condition that may delay (e.g. temporary operating restriction or closing of runway / and/or aerodrome, required re-routing) the landing of the aircraft;
􀁸 procedures specific to the type of aircraft, such as failure of one engine while en-route, loss of pressurisation etc. or any other condition that may increase the fuel and oil consumption.
As part of the briefing, the instructor shall evaluate the student’s fuel calculation prior to commencing the flight.

Verklag við lendingar á jöklum og í snjó

Flug
Nr. máls: M-00414/AIG-02
Staða máls: Lokuð
10.08.2017

Tillaga í öryggisátt

RNSA beinir því til Norðurflugs að setja í handbækur sínar verklagsreglur varðandi lendingar á jöklum og á snjó, þegar hætta er á að flugmenn geti misst viðmið á jörðu.

Afgreiðsla

Norðurflug hefur innleitt tillöguna á eftirfarandi hátt:

  • Hluti í handbók 8.1.2.2
  • Hluti af OPC formi
  • Hluti af þjálfun fyrir þyrlu skíðun þar sem einkum reynir á þetta og í kennsluefni er ítarlega farið yfir „whiteout“
  • Hluti af áhættumati sem gert er vegna nýrrar reglugerðar Ferðamálastofu