TORONTO, March 14, 2013 /CNW/ - The Transportation Safety Board of
Canada (TSB) today released its investigation report (A12O0005) into
the 15 January 2012 runway overrun at the Timmins, Ontario, airport by
a Pilatus PC-12 aircraft operated by Air Bravo Corporation.
The aircraft was on a flight from Hornepayne, Ontario, to Timmins with 2
pilots and a flight paramedic on board. About 60 nautical miles from
the Timmins Airport, at an altitude of 15 000 feet, the aircraft's
engine's torque gauge (an instrument used to set engine power) was
indicating below the normal operating range. A few minutes later, the
crew observed a series of oil pressure warning lights as well as oil on
the windscreen. The flight crew reduced engine power, declared an
emergency, and requested a straight-in approach to Runway 10 at
Timmins. The aircraft touched down one-third of the way down the
runway, became airborne again, and then touched down approximately 1200
feet beyond the runway end. There were no injuries, but the aircraft
sustained substantial damage.
TSB investigators found that a nut on an oil line had become loose,
causing a complete loss of engine oil during the flight. The nut had
not been secured with a secondary locking device, nor had it been
painted to provide a visual indication that it was loose.
Following the oil loss, the crew concentrated on landing as soon as
possible. The crew chose to land on Runway 10, which was directly in
front of them, rather than the longer Runway 21, for which winds were
more favourable. The aircraft landed at a higher-than-normal speed, and
applying full braking without engine reverse was not sufficient to stop
it before the runway end.
Following the accident, Air Bravo developed new flight operations and
maintenance procedures to reduce the risks identified in this
investigation. Maintenance now requires all fasteners without secondary
locking devices to be tightened to standard torque values; it also
requires fasteners to be painted so that it is easy to see whether or
not they have loosened. In addition, the flight operations department
has scripted a scenario for simulator training to mirror the conditions
of this occurrence.
The TSB is an independent agency that investigates marine, pipeline,
railway and aviation transportation occurrences. Its sole aim is the
advancement of transportation safety. It is not the function of the
Board to assign fault or determine civil or criminal liability.
SOURCE: Transportation Safety Board of Canada