Safety Investigations News 6/11/2021

Safety Investigations News 6/11/2021 Safety Investigations Podcast

Summary

Safety Investigations news for 6/11/2021

For full show notes with links and to subscribe to this audio podcast go to http://safetyinvestigations.net 

NTSB

https://go.usa.gov/x6bpZ

https://go.usa.gov/x6bpr

https://go.usa.gov/x6bpa

https://go.usa.gov/x6bVt

http://go.usa.gov/x6ZXp

https://go.usa.gov/x683F

ATSB

https://www.atsb.gov.au/publications/investigation_reports/2021/aair/ao-2021-016/

http://www.atsb.gov.au/publications/investigation_reports/2020/aair/ao-2020-064/

http://www.atsb.gov.au/publications/investigation_reports/2020/rair/ro-2020-002/

Argentina’s Civil Aviation Accident Investigation Board (Jiaac)

https://jst.gob.ar/files/informes/55314916-2019.pdf

OSHA

https://www.osha.gov/news/newsreleases/region/06072021

https://www.osha.gov/news/newsreleases/region2/06102021

Transcript

News Theme 1 by Audionautix is licensed under a Creative Commons Attribution 4.0 license. https://creativecommons.org/licenses/by/4.0/ 

Artist: http://audionautix.com/ 

Transcription

Disclaimer: This transcript is auto generated and is not manually checked for errors.  It more than likely contains very significant errors.

SIP News 21-06-11

This is your safety investigation news brief for June 11th, 2021. I’m your host Charles Current in this week’s episode, the U S GSB announced it is investigating three new plane crashes and one new multi-view vehicle crash. They showed five new preliminary reports and completed documentation of its investigation of derailed tank car performance.

[00:00:23] The Australian ATSB has released a preliminary report. From a fatal accident involving a Cessna 1 72 conducting power line survey work. They issued an investigation progress update on the loss of control and collision in with terrain involving a Robinson  and released an interim report outlining planned safety action.

[00:00:46] Following Wilin X, P T derailment. Argentina’s civil aviation accident. Investigation board says a Cessna six 80 landed gear up after crews, silence, cockpit alarms, and the us department of labor cited Cambridge green facility for workplace safety failures. Following engulfment death of a manager in corn silo, and they cited pharma biotech manufacturer for failing to protect workers from coronavirus at Monmouth county facility.

[00:01:26] if he can find full show notes with links to stories discussed@safetyinvestigations.net, there might be a slight delay between when the episode goes up and when the shownotes arrive on the website as it’s a manual process, but I do my best to get them up as quick as I can. As usual, straight off the news this week with the NTSB, they are investigating the June six crash of a Switzer S G S one dash three five glider in Wirtz borough, New York, and the June six crash of a diamond D a four zero N G airplane in Darlington, Indiana, and the June 7th, 2021 crash of a vans RV  near Porterville, municipal airport in Porterville, California.

[00:02:13] And in cooperation with the Arizona department of public safety, the NTSB is sending nine investigators to conduct safety investigation into the June 9th, 2021. Fail multi-vehicle crash on loop 2 0 2 red mountain freeway in Phoenix, Arizona. And they issued their preliminary report for the ongoing investigation of the fatal May 21st, 2021 crash of a Piper, PA 31 P airplane in Myrtle beach, South Carolina.

[00:02:42] And it reads on May 21st, 2021 at 1814 Eastern daylight time, a Piper, PA 31 P November 5 7, 5. Bravo, Charlie. Was destroyed when it was involved in an accident near Myrtle beach, South Carolina, their airline transport pilot was fatally injured. The airplane was operated as a title 14 code of federal regulations, part 91 personal flight.

[00:03:10] The flight was the airplane’s first flight after maintenance was performed. And prior to the flight, the airplane was fueled with 167.5 gallons of 100 low lead aviation fuel. The airplane departed, Myrtle beach international airport, Myrtle beach, South Carolina at 1812 with the intended destination of grand strand airport, north Myrtle beach, South Carolina, according to preliminary ads B and air traffic control radio communications data prior to take off the pilot established communications and reported that he was ready for departure from runway one eight.

[00:03:51] He was instructed to fly runway, heading climb to 1,700 feet and was cleared for takeoff. Once airborne, the controller instructed the pilot to turn left. However, the pilot stated that he needed to return to runway one eight. The controller instructed the pilot to enter a right closed traffic pattern at 1,500 feet.

[00:04:11] As the airplane continued to turn to the downwind leg of the traffic pattern, it reached in an altitude of about 1000 feet, mean save level. While on the downwind leg of the traffic pattern, the airplane descended to 450 feet mean sea level climb to 700 feet means sea level. And then again descended to 475 feet mean sea level prior to the loss of radar contact.

[00:04:36] About one minute after the pilot requested to return to the runway, the controller asked if any assistance was required to which the pilot replied. Yes, we’re in trouble. There was no further radio communications from the pilot. The airplane impacted in a field about 0.1 mile beyond the last radar return at an elevation of 20 feet, a post impact fire ensued and debris field was about 400 feet long by 150 feet wide.

[00:05:04] All major components of the airplane were located in the vicinity of the main wreckage. Each engine came to rest in about a five foot crater and remained attached to the fuselage. The left engine crankcase was impact damaged in multiple locations. The gearbox was impact separated. All valve covers remained intact and attached to the cylinders.

[00:05:28] The valve covers were removed and no anomalies were noted. Cam shaft and crankshaft continuity were confirmed by using a lighted borescope. To examine the internal components of the engine. In addition, the cylinders were examined using a lighted borescope and no alarm. No anomalies were noted. All engine accessories were impact, separated and fragmented.

[00:05:51] The left engine turbocharger was impact separated would bind when it rotated and scoring was noted on the casing. The right engine crankcase was impact damaged in multiple locations. All valve covers remained intact and attached to the cylinders. The valve covers were removed and no anomalies were noted.

[00:06:12] Crank shaft and cam shaft continuity were confirmed by using a lighted borescope to examine the internal components of the engine. In addition, the cylinders were examined using a lighted borescope and no, no anomalies were noted. All engine accessories were impact separated and fragmented. The oil suction screen was removed and was not the right engine turbocharger was impact separated and would bind when it rotated the left Heller was impact separated from the engine.

[00:06:44] Two of the three blades were separated from the hub. All blades exhibited. One blade was bent forward. One exhibited tip curling, and last blade was bent AFT. The blade that was bent AFT remained attached to the propellor hub. The right propeller was impact separated from the engine. Two of the three blades were impact separated from the hub.

[00:07:08] All blades exhibited polishing one blade was bent forward. One blade was bent AFT and one blade remained straight. The straight blade remained attached to the propellor hub. Bike control cable continuity was established from all flight control surfaces to the cockpit through multiple. Overload breaks in the cables.

[00:07:29] A majority of the wings and fuselage were consumed by fire, the remaining skin and structure, exhibit accordion, like impact damage that was symmetrical on both wings. The landing gear was in the extended position. The flaps were in the retracted position. The empanada was separated from the fuselage and located about 50 feet from the main wreckage.

[00:07:52] The top section. Of the vertical stabilizer and the rudder were impact crushed downward. The elevator remained attached to the right horizontal stabilizer. The right trim tab remained attached to the right elevator was deflected up, but was impact separated from the connecting rod. The left trim tab remained attached to the left elevator.

[00:08:14] The connecting rod remained attached to the flight controls and it was deflected up. Further examination of the elevator trim tabs revealed that they were installed upside down and reversed the connecting rod that attached the trim tab to the trim drum that should be located on the top of the trim tab was located on the bottom side.

[00:08:35] The airplane’s most recent annual inspection was completed on May 19th, 2021 maintenance performed at that time included, removing repainting and reinstalling the primary and secondary flight control surfaces. The NTSB also issued the preliminary report for its ongoing investigation of the fatal May 22nd, 2021 crash of a flight design, CT SW airplane in Winterville, North Carolina.

[00:09:00] And it reads on May 22nd, 2021 at about 1742 Eastern daylight time. A flight design CT S w November 7 0 8. Juliet. Mike was destroyed when it was involved in an accident near Winterville North Carolina. The sport pilot and one passenger were fatally injured. The airplane was operated as a title 14 code of federal regulations, part 91 personal flight, according to federal aviation administration, uncorrelated radar track data, the flight departed runway two three Sierra uniform tango at 1627.

[00:09:35] After takeoff, the flight returned left or after takeoff, the flight turned left. To a Northeast heading for about 21 nautical miles. It then turned slightly left to a north Northeast heading and proceeded towards zero five November while in route to zero five, November, the passenger sent her son a text message, which stated it’s 5 27 right now.

[00:10:02] And we are 12 minutes from landing in Aiden, had a headwind that slowed us down a little bit. We’ll text when we get settled. If I continued towards zero five November, but the radar track data was lost at 1735 and 52 seconds. When the flight was about 6.2 nautical miles and 181 degrees from zero five November.

[00:10:25] According to video recorded from a house located south of the runway at zero five November. The airplane landed about 122 feet from the approach end of runway to five and remained on the ground for about 340 feet. The video depicted the airplane in a nose, high tail, low attitude. It then became airborne about 464 feet past the approach end of the runway, and entered a shallow climb, which appeared to decrease while the plane turned to a southerly direction, the airplane then banked left and began descending in a nose, low attitude before it was lost from the view of the camera.

[00:11:05] A pilot rate of witness who was in his house near the departure. End of runway two, five reported hearing a noise and seeing the airplane from his window. He noted it was banking left and trying to climb, describing the bank angle as between 15 and 20 degrees. He then heard a snapping sound like breaking tree limb followed by ground impact.

[00:11:27] He went to his porch and about 10 seconds after impact observed a fire. His wife called 9 1 1. And he went near the accident site, but the fire precluded him from rendering assistance. He further added that the smoke from the post-crash fire rose vertically consistent with his account of no or numb or consistent with his account of no or minimal wind at the time of the accident, the wreckage, which was mostly consumed by post-crash fire was recovered for further examination.

[00:11:59] The NTSB also issued a preliminary report for its ongoing investigation of the fatal May 24th, 2021 crash of a Munson. Roger J R V eight airplane in van cleave, Kentucky on May 24th, 2021 at about 1330 central daylight time and experimental amateur built rans R V eight, November 2 84. Romeo Mike was destroyed when it was involved in an accident near van cleave, Kentucky.

[00:12:29] The private pilot was fatally injured. The airplane was operated as a title 14 code of federal regulations, part 91 personal flight. The flight originated from green Cove Springs, Florida with a fuel stop at Pickens county airport. Pick in South Carolina. According to air traffic control data provided by the federal aviation administration.

[00:12:49] After a departure from Pickens county airport, the airplane made a climbing left turn and a series of turns gradually climbing in route until reaching about 9,000 feet means sea level. When the airplane reached the vicinity of van Cleve, Kentucky, the pilot declared an emergency stating he had lost oil pressure and the engine failed.

[00:13:12] Air traffic control advised the pilot of an airport at his two o’clock and three miles. The pilot stated he did not have the airport insight and opted to perform a forced landing in a field. The airplane was observed on radar in a 270 degree turn while descending with decreasing ground speed until flight track data was lost.

[00:13:34] According to a witness, the airplane flew over the top of a mountain and was smoking prior to ground impact. The airplane was in a left bank and the nose of the airplane hit the ground with the engine area on fire. Shortly after the airplane came to rest, the witness started to walk towards the airplane.

[00:13:54] Then he heard an explosion and observed the airplane on fire. The airplane came to rest on a heading 353 degrees, all four corners of the airplane and all flight control surfaces were accounted for at the accident site. The fuselage from the firewall to about two foot forward of the empanada was destroyed by the post impact fire light control continuity was observed from the flight control surfaces to the fire damaged area within the cockpit, the flight instruments and flight controls within the cockpit were destroyed by the fire initial examination of the engine revealed that the accessory section was fire damaged.

[00:14:36] The airplane was recovered for further examination and they issued the preliminary report for the ongoing investigation of a fatal May 25th, 2021 crash of a Gulf stream. America Corp AA five airplane in Crossville, Tennessee. And that one reads. On May 25th, 2021 at oh seven 30 central daylight time. A Gulf stream, American AA  November 2, 6, 8, 8.

[00:15:03] Niner was destroyed when it was involved in an accident near Crossville, Tennessee, the student pilot was fatally injured. The airplane was operated as a title 14 code of federal regulations, part 91 instructional flight. Preliminary radar data obtained from the federal aviation administration and interview with the student pilots flight instructor, and telephone records reveal that the airplane departed Crossville Memorial airport Crossville Tennessee on the second leg of its flight, about 0 7 15.

[00:15:35] The airplane’s next planned stop was Cleveland regional jet port Cleveland, Tennessee, about 50 miles to the south of Crossville Memorial airport. The airplane climbed on a southerly track to 3,700 feet MSL before beginning a gradual descent about 0 7 18. The airplane continued its descent on its southerly track until about 0 7 23 and 3000 feet MSL.

[00:16:03] When the airplane entered a 450 degree descending right turn. At 0 7 26, about 2,300 feet MSL. The student pilot placed a telephone call to his uplight instructors cellular telephone. According to his instructor quote, he called me from the air. He said the airplanes engine was not making full power.

[00:16:25] Making 75 knots at 1,700 RPM. Normal cruise was around 2,400 RPM at 95 Nazi air speed. Initially his demeanor was quite calm and he remained calm while he was talking to me. I helped him with troubleshooting. I asked about fuel state magnetos on carb heat position and the instruments were all in the green, but the Angela was not making full power and the airplane could not climb from there.

[00:16:53] I asked where he was, what is your closest airport? And he thought he was 40 to 50 miles from Crossville. And didn’t think he could make it back. I remember telling him to land at the nearest airport and I would pick him up, but he said he had slowed to 70 knots. I told him to make an emergency landing in a field.

[00:17:14] And he said there were trees and mountains. I asked if he was talking to ATC and he said he was not soon after I heard the sound of trees and impact. And the connection went dead. The airplane completed its course reversal about eight miles south of Crossville and traversed, a large open. Cultivated field before impacting rising terrain on heavily wooded bridge line, the student pilot had begun flight lessons about one month prior to the accident, according to his instructor, the student had accrued 44 hours of flight experience.

[00:17:46] All of which was in the accident airplane. The student pilot was a conscientious student who flew an average of three times per week. Instructor stated that the student was enrolled in an online ground school and that they would discuss the lessons before each flight. The accident flight was the student’s first cross country solo flight airplane’s.

[00:18:07] Most recent annual inspection was completed December 11th, 2020 at 5221.84 total aircraft hours. Examination of the airplane at the accident site revealed the wreckage path was about 1,800 feet elevation oriented about 0 3, 0 degrees magnetic. And was about 75 feet long. The initial impact point in a tree about 50 feet tall and pieces of angerly cut wood were found along the wreckage path.

[00:18:41] The airplane was consumed by post-crash fire remnants of each wing, and the main wing spars were found adjacent to main fuselage area. The tail section was. Impact damage, but remained largely intact control cable continuity was established from the control column and rudder pedals to rudder and elevators continuity was established from the control column through breaks at each wing route out to the ailerons.

[00:19:10] The cable breaks displayed features consistent with overload failure. The instrument panel and its contents were consumed by fire. The engine displayed significant fire damage and accessories along with their associated wires. Hoses fittings were consumed by fire. One propeller blade displayed after bending and the other appeared intact and undamaged by fire.

[00:19:35] The engine was rotated by hand at the propeller. It was subsequently recovered and retained for further examination. And the NTSB also issued the preliminary report for its ongoing investigation of the fatal May 20th, 2021 crash of a Lance air evolution airplane in ma Dermot, Ohio. That one reads. On May 20th, 2021, about 10 48 Eastern daylight time.

[00:20:03] A Lance air evolution airplane, November 5, 1 5 Delta Lima was destroyed when it was involved in an accident near at McDermott Ohio. The private pilot and passenger were fatally injured. The airplane was operated as a title 14 code of federal regulations, part 91 personal flight, a review of preliminary air traffic control information revealed the airplane departed at about 10, 14 from.

[00:20:27] Bel Fontaine regional airport in Bel Fontaine, Ohio on an instrument flight rules, flight plan with destination of Charleston international airport Charleston, South Carolina, after departure the airplane climb to flight level 2 5, 0, and accelerated to 215 knots ground speed. During the next one minute and 43 seconds while in level flight on a southeasterly heading the airplane gradually decelerated to 146 knots ground speed.

[00:20:59] The air plane subsequently made a left turn and rapid descent. During this timeframe, the pilots transmitter became stuck in a distressed conversation between the pilot and his passenger was audible. The controller made unsuccessful attempts to contact the pilot and radar contact was lost. A ground witness observed the plane in a spiral dissent, and that it may have been missing a wing.

[00:21:26] The airplane impacted into forested terrain with a vertical nose down attitude and fire ensued. The airplane was equipped with a parachute recovery system, the ballistic charge for the system expended during the fire. The right wing outboard, nine feet was located about half mile Northeast of the main wreckage examination revealed engine and propeller rotational signatures, consistent with the engine producing power during ground impact, no mechanical malfunctions that would have precluded normal operation were observed.

[00:22:01] And airmen for icing was valid up to 22,000 feet. And an airmen for moderate turbulence was valid from 25,000 to 42,000, both aromats covered Bel Fontaine and the accident area. And this week, the NTSB announced completion of its investigation to document the performance of  rail tank cars involved in the December 22nd, 2020.

[00:22:28] Derailment near Custer Washington, the NTSB conducted a limited investigation of the accident focused solely on the performance of the DLT dash 1, 1 7 rail tank cars as such the NTSB did not determine probable cause for the derailment and did not publish a brief or report. The NTSB is documentation of its investigation into the performance of the tank.

[00:22:52] Cars is documented in a factual report. No injuries were reported in connection with the derailment. However, 120 people were evacuated from a half mile radius around the accident site. About 29,000 gallons of petroleum crude oil was discharged from three tank cars. The oil ignited and burned uncontrolled for two hours.

[00:23:16] Damage was estimated to exceed $1.5 million information collected. By the NTSB for its investigation is publicly available in the docket. Online docket contains 23 items, totaling 224 pages in its factual report. The NTSB states nine of the 10 derailed tank cars were originally constructed to DLT 1, 1, 1, a 1 0 0 WUI specifications.

[00:23:43] With enhancements to the association of railroad standards, CPC dash 1 2 3, 2 industry standard for crude oil and ethanol service tank cars ordered after October 1st, 2011, the CPC 1232 tank cars were converted to DLT 1, 1 7 R 1 0 0 w in 2019. NTSB investigators did not travel to Custer to examine the tank cars due to COVID-19 travel restrictions.

[00:24:14] However, the investigators relied on close communication with the federal railroad administration and the Washington state utilities and transport commission to collect derailment damaged data. Robert J. Hall director of NTSB, his office railroad pipeline, and hazardous materials investigations said the NTSB.

[00:24:33] His intent for this investigation was to gain damaged data from the  rail tank cars involved in the derailment because our investigation was limited to data collection. We have not issued any findings or safety recommendations. The data we gathered in this investigation will assist us. As we evaluate the performance of tank cars, carrying flammable liquids involved in other rail accidents.

[00:24:58] The Australian transportation safety bureau has released a preliminary report for its ongoing investigation into the fatal accident involving a Cessna 1 72 conducting power lines survey work near Sutton north of Ken Canberra on 13th, April. The report says on. 13, April, 2021 at about 1324 Eastern standard time.

[00:25:24] The pilot of a Cessna R 1 72 K aircraft registered Victor hotel, Delta Lima, alpha departed Canberra airport, Australian capital territory with an observer on board to conduct power line survey, work to the north of Sutton new south Wales at 1622 Delta Lima alpha crossed. Talla again, DRA lane and proceeded with survey work, concentrating on power lines, servicing properties to the east of the lane.

[00:25:56] Following the completion of two orbits at 1624, the pilot initiated a right turn and track to the Northeast witnesses in the area, described the aircraft flying low above the trees before commencing a left banking turn followed by steep descent and collision with terrain. Witness reports indicated that the loss of control and entry into the spin proceeded ground impact the pilot and the observer were fatally injured analysis of the recorded garment, GPS and Oz runways flight data identified that the last garment GPS data point at 1624 and 48 seconds.

[00:26:34] Show the height of the aircraft to be about 164 feet above ground level. And about 115 meters from the wreckage. The final Oz runways data point at 1624 and 50 seconds was about 80 meters from the accident site. The wreckage was located in an open field about 30 meters east of tele Kendra lane, and about 10 kilometers to the Northwest of Sutton.

[00:27:03] There was little spread of the wreckage with few parts liberated in the accident, sequence, larger items, including the propeller and the right under carriage leg were found next to the fuselage items from the luggage locker were located within five meters of the initial impact point. The most distant item from the main wreckage was the aircraft battery, which was found near the edge of telling Kendra lane.

[00:27:28] Examination of the records show the aircraft impacted the ground in a near vertical nose down attitude. Delta Lima alpha was a single engine Cessna. Our 1 72 K aircraft. It was manufactured in the United States in 1977 with serial number Romeo, 1 7 2 2 8 0 Niner and first registered in Australia in 1978.

[00:27:53] To date the HTSP has examined the wreckage collected items for further examination, interviewed witnesses, retrieved flight related, electronic data, collected weather data from the bureau of meteorology and interviewed the operator. The investigation is continuing and will include further examination and analysis of the aircraft flight path, including analysis of recorded flight data.

[00:28:18] Pilot qualifications experience and medical history, pilot flight, and duty periods, aircraft, weight, and balance aircraft maintenance records and flight survey, operational procedures should a critical safety issue be identified during the course of the investigation. The ATSB will immediately notify relevant parties, so appropriate and timely safety action can be taken.

[00:28:40] The final report will be released at the conclusion of the investigation. And the HTSP also issued an investigation progress update on the loss of control and collision with terrain involving a Robinson  for Victor hotel hotel, Oscar Bravo near Claire, south Australia on 22, December, 2020 says. On the morning of 22, December, 2020, the pilot of a Robinson R 44.

[00:29:08] Helicopter was conducting aerial agricultural spray operations on a property, 13 kilometers Southeast of Clara valley aerodrome south Australia. After completing numerous spray runs throughout the morning, the pilot was preparing to land the helicopter adjacent to a loading vehicle for punishment of chemical product by ground crewman.

[00:29:29] When he loud bang emanated from the rear of the helicopter. The pilot reported that following the noise, the helicopter descended rapidly and there was significant resistance from flight controls, the helicopter collided heavily with the loading vehicle coming to rest on its side. The pilot and crewmen were uninjured.

[00:29:50] The operators preliminary onsite assessment of the substantially damaged helicopter identified that a mechanical disruption had occurred to the drive system. The TSPs preliminary metallurgical examination of the drive train components identified that the clutch shaft forward the Oak and fractured the fracture occurred at the bolt hole on the yolk lug that connected with the Ford flex plate and was due to the development of a fatigue cracking that progressed almost entirely through the yolk cross section.

[00:30:21] The fracture resulted in the loss of engine drive to the main rotor system. Corrosion product and fretting damage were identified in the vicinity of the bolt hall, adjacent to the fatigue fracture surfaces. The airworthiness of the yolk is not limited to total time in service and is required to be inspected at every 100 hour or annual inspection.

[00:30:44] The opportunity to conduct a detailed examination of the contact surfaces for defects is generally limited. To those occasions when the bolts are removed and the yolk is separated from the forward flex plate that is only scheduled to occur during 12 year, 2,200 hour overhaul inspections, a general visual inspection of the assembled clutch shaft yoked during the 100 hour or annual inspection may not identify defects such as corrosion, fretting and or cracking.

[00:31:16] The investigation is continuing and will include. A review of the helicopter maintenance records and maintenance schedule and assessment of components from the hydraulically assisted flight control system. Further examination of the main rotor drive, train assembly. Should any safety critical issue be identified during the investigation?

[00:31:37] The ATSB will immediately notify relevant parties so that appropriate and timely safety action can be taken. And then they also released the. Interim report outlining planned safety action. Following the Wallen XPT derailment, the announcement reads a number of safety actions are planned and proposed as a result of the derailment of an XPT passenger train near Wallan Victoria on 20 February, 2020 Melbourne bound XPT passenger train S T 23 operated by NSW train link.

[00:32:11] Derailed after entering a passing loop at the speed, probably between 114 and one or 27 kilometers an hour. The interim report notes that the speed limit for entering the loop was 15 kilometers an hour with the train, unable to negotiate the turnout at that speed, the lead power car rolled onto its side and all five passenger cars derailed only the rear unoccupied power car did not derail.

[00:32:39] And they published the interim report on their website and they say the interim report details, factual information established in the investigations evidence collection phase, and the HTSP interim observations of that evidence and interim report has been prepared to provide progress information to the public and rail industry and information on safety actions.

[00:33:00] So far taken the interim report does not contain findings or safety factors that will be detailed in the final report. The information contained in the interim report is released in accordance with section 25 of the transportation safety investigation act 2003. Our next story is out of Argentina. The Argentinas civil aviation accident investigation board says a Cessna six 80 landed gear up after crew silence, cockpit alarms.

[00:33:28] I am probably going to do a horrible job of pounding, announcing the names in this. It says the Cessna six 80 citation sovereign took off from San Fernando international airport bound for a private airstrip near Chuck kin. The Gonzalez a stop  was made at Salta airport. The aircraft took off from at 12, 15 local time and after 15 minutes of flight.

[00:33:57] With the runway insight, the cruise silence, the oral alarms of the tos in order to avoid such alarms since the aerodrome was not registered in the aircraft database. In the final landing phase, the crew observed a block of medium sized birds that diverted their attention close to touchdown after checking instrument, readings, and speed.

[00:34:17] The crew sense that the aircraft continued to descend without making contact with the runway at the altitude. It normally did. While the aircraft was making contact with the runway. The commander in the non-flying pilot role lowered the landing gear lever, but was unable to complete the extension. The aircraft decelerated on the fuselage for 500 meters over the runway, and then exited the runway to the left with the aircraft stopped evacuation, took place.

[00:34:44] The passengers and crew were uninjured. The accident occurred during daylight and in good weather conditions. Conclusions regarding factors related to the accident are as follows prior to takeoff. The cockpit speaker mute function was activated, which was only enabled on the pilot and copilot headset.

[00:35:05] All warning entering proximity system audios were muted. The crew removed their headsets. During the final approach phase, the presence of birds during landing could have been a distracting factor in one of the most critical phases of flight. Procedural checklists were not used. And the landing gear was not extended back in the U S the U S department of labor sites, Cambria grain facility for workplace safety failures.

[00:35:31] Following engulfment death of a manager in corn silo from Cambridge to Wisconsin. After I worker who was clearing corn debris from the unsafe silo, failed to arrive for a regularly scheduled meeting employees called 9 1 1 when they could not find him at the silo. Nor reach him by phone. It took emergency services, nine hours to recover the body of the 52 year old manager found engulfed in the silo, operated by Didion milling, Inc, and Cambridge and OSHA investigation of the December 8th, 2020 fatality found that the manager entered the unsafe grain bin.

[00:36:10] Despite recently having an external process underway to remove corn from the clogged silo. OSHA also determined that the external process should have continued for several more days before allowing anyone to enter the grain bin. The agency issued four willful and 10 serious safety citations, most involving requirements for safe entry into grain storage structures and proposed $676,808 in penalties.

[00:36:39] Acting OSHA, regional administrator, William Donovan in Chicago said Didion. Milling’s failure to learn from recent incidents and follow industry standards and their own company policies cost this worker’s life. Six of every 10 workers trapped in grain Benz. Don’t make it out alive. This is a frightening and tragic reality safety standards are in place to protect workers from serious and fatal injuries.

[00:37:06] Didion Milling’s recent history includes a May, 2017 explosion that killed five workers and in and injured as many as 15 others and a large grain shelf claps in October, 2020, that nearly engulfed an employee who is cleaning the inside of a grain bin. Sun Prairie based Didion milling has been in operation since 1972.

[00:37:29] The company operates a corn milling and biofuels facility and Cambria. And production facilities in mark KZN and Johnson Creek and in New Jersey, us department of labor cited pharma biotech manufacturer for failing to protect workers from coronavirus at a Monmouth county facility and Eaton town manufacturer fail to protect employees adequately from workplace exposure to coronavirus the U S department of labor’s occupational safety and health administration determined.

[00:38:02] After an investigation into the deaths of two workers and hospitalization of two others who contracted the coronavirus in the fall of 2020 OSHA’s inspection found that. Avant tour fluid handling LLC failed to ensure physical distancing and then employees wore face mask in common areas. The agency cited the company for violating OSHA general duty clause.

[00:38:26] That requires employers to ensure workplaces are free from recognized hazards that may cause death or serious physical harm. In November, 2024 company employees tested positive for coronavirus and required hospitalization. By January, 2021, two of the workers, the husband and wife died due to complications related to the virus.

[00:38:47] Two other workers recovered and total 30 out of 50 employees at the facility tested positive for coronavirus, OSHA initiated the workplace safety and health investigation. After the company alerted OSHA of the workers, illnesses, OSHA alleges that Avantor failed to enforce safety protocols, such as distancing and mask wearing.

[00:39:08] That would have mitigated further spread of coronavirus in the locker, growing and break rooms at the Eatontown facility, the employer faces $13,653 in proposed penalties area director, Paula Dixon Roderick in Burlington. New Jersey said two workers lost their lives and others were sickened because their employer failed to take precautions necessary to keep them safe.

[00:39:33] Tragically this case should remind all employers of the importance of fully implementing coronavirus prevention procedures.

[00:39:41] And that’s it for this week’s news. And remember, you can find full shots with links@safetyinvestigations.net. You can follow her subscribe to this podcast on most podcast apps.

[00:39:51] Thanks for listening and have a safe week.

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