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Reports

  • Expanding the use of locomotive voice and video recorders in Canada

    Released on

    In May 2015, the Transportation Safety Board of Canada launched a Class 4 safety issues investigation (safety study) on the use of locomotive voice and video recorders under the Canadian Transportation Accident Investigation and Safety Board Act. Transport Canada and key rail stakeholders were invited to participate in this study. The safety study identified some best practices, identified and evaluated implementation issues, examined potential safety benefits of the expanded use of on-board recorders, and collected background information for the development of an action plan to implement locomotive voice and video recorders.

  • Incorrect fuel type and forced landing of Keystone Air Service Ltd., Piper PA-31-350, C-FXLO, 1 nm SW of Thompson, Manitoba on 15 September 2015

    Released on

    At 1817 Central Daylight Time, the Keystone Air Service Ltd. Piper PA-31-350 (registration C-FXLO, serial number 31-8052022) departed Runway 06 at Thompson Airport, Manitoba, on an instrument flight rules flight to Winnipeg/James Armstrong Richardson International Airport, Manitoba, with 2 pilots and 6 passengers on board. Shortly after rotation, 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. Due to oncoming traffic, the forced landing was conducted in a forested area adjacent to the highway, approximately 700 metres south of the threshold of Runway 06.

  • Main-track derailment of Canadian Pacific Railway freight train 118-10 at mile 42.0, Nipigon Subdivision, Dublin, Ontario on 13 January 2015

    Released on

    On 13 January 2015, at 1118 Eastern Standard Time, Canadian Pacific Railway freight train 118-10 was proceeding eastward on the Nipigon Subdivision at about 35 mph when it experienced a train-initiated emergency brake application at Mile 42.0 near Dublin, Ontario. Subsequent inspection determined that 21 cars had derailed. The derailed equipment included 7 dangerous goods tank cars loaded with propane (UN 1075, liquefied petroleum gas). As a result of the derailment, 1 tank car lost its entire load and another tank car released product. One crew member sustained minor inhalation injuries.

  • Forced landing following fuel exhaustion of Aviation Flycie Inc. Beechcraft King Air 100, C-GJSU, 8 nm E Montréal/St-Hubert Airport, Quebec on 10 June 2013

    Released on

    The Beechcraft King Air 100 (registration C-GJSU, serial number B-88) operated by Aviation Flycie Inc. took off from the Montréal/St-Hubert Airport, Quebec, on a local flight under visual flight rules with 1 pilot and 3 passengers on board. As the aircraft approached Runway 24R at the Montréal/St-Hubert Airport, both engines (Pratt & Whitney Canada, PT6A-28) stopped due to fuel exhaustion. The pilot diverted to the St-Mathieu-de-Beloeil Airport, Quebec, and then attempted a forced landing in a field 0.5 nautical mile west of the St-Mathieu-de-Beloeil Airport. The aircraft struck the ground 30 feet short of the selected field, at 1725 Eastern Daylight Time. The aircraft was extensively damaged, and the 4 occupants sustained minor injuries. The emergency locator transmitter activated during the occurrence. The flight took place during daylight hours, and there was no fire.

  • Loss of control and collision with terrain of Conair Group Inc., dba Conair, Air Tractor AT-802A Fire Boss Amphibian, C-FDHV, 25 nm NW of Cold Lake, Alberta on 22 May 2015

    Released on

    The Conair amphibious float-equipped Air Tractor AT-802A Fire Boss, C-FDHV, serial number 802A-0348, was operating as Tanker 692 in support of wildfire management operations 25 nautical miles northwest of Cold Lake, Alberta. Tanker 692 was the last in a formation of 4 AT-802A Fire Boss aircraft followed by 2 CL-215T aircraft being operated by Conair Group Inc. Tanker 692 had completed 2 drops on the fire, from west to east, with a turnout to the north. When exiting its third drop, Tanker 692 encountered severe turbulence and then pitched to a nose-up attitude. The aircraft climbed to approximately 400–500 feet above ground level, where it rolled to the left and entered a nose-down attitude. It struck the ground right-wing low and close to nose-level at 1630 Mountain Daylight Time. The pilot was fatally injured as a result of non-survivable impact forces. There was no post-impact fire.