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R116 Accident AAIU report discussions

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  • 20-10-2021 6:24pm
    #1
    Administrators Posts: 376 Admin ✭✭✭✭✭System


    This discussion was created from comments split from: Rescue 116 Crash at Blackrock, Co Mayo(Mod note in post 1).

    We've had to do this to avoid some problems that are happening as a result of the migration to Vanilla, the page managment on the old thread is not working correctly, which was making it almost impossible to see what's happening in the thread.


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Comments

  • Registered Users Posts: 7,252 ✭✭✭plodder


    "The 333-page AAIU draft report took more than two years to compile and was completed in late 2019. Publication, which was delayed until the Review Board completed its work, is expected shortly, once the AAIU has incorporated changes recommended by the Review Board."

    Looks like publication of the final report is imminent.



  • Registered Users Posts: 13,186 ✭✭✭✭jmayo


    Two very noticable things in that article in the way they highlight legal teams involved.

    As others have said I always thought Air Accident Reports were just statement of facts.

    They never directly apportion fault or blame or determine liability, but if that facts point out dificiencies by any of the parties then it who is to blame is kinda obvious.

    So was this review a review of the facts or the way the facts were portrayed in the report ?

    I am not allowed discuss …



  • Registered Users Posts: 8,239 ✭✭✭Pussyhands


    RTE with the emotive headline yet again - no doubt there'll be a go fund me set up any second now.

    The families chose to hire lawyers, they weren't forced. Headline making out it was some kind of injustice that they'd have to pay legal fees.



  • Registered Users Posts: 7,252 ✭✭✭plodder


    I'm in two minds about it. On one hand, it's hard to see how two teams of competing lawyers can actually improve a draft report like this. On the other hand, if only one party to the enquiry has legal representation, then you could imagine a report being made a lot worse, with blame being shifted on to those who aren't represented. So, it's not hard to feel sympathy for the families believing they need to be involved.



  • Registered Users Posts: 9,312 ✭✭✭markpb


    The chair of the Review Board disagrees with your view:

    Referring to the family of pilot Dara Fitzpatrick, Mr McCann wrote: "Given the volume of documentation, its complexity, applicable legal rules, the nuanced factual matters meant, it would have been difficult if not impossible for the Commander's family to represent its own interest and the late Commander's interests without legal representation."



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  • Registered Users Posts: 481 ✭✭mr.anonymous


    Probably an exercise in wording to take the sting out of what is usually a thorough analysis by the AAIU.


    I'd wonder how will this affect the reputation of CHC and their renewal bid for the SAR contract?



  • Registered Users Posts: 7,414 ✭✭✭MrMusician18


    Haven't been following this too closely, so why has the report taken so long? It will hardly differ too much from the preliminary one?



  • Registered Users Posts: 481 ✭✭mr.anonymous



    A review was requested so it went to an independent review board, which seems to have concluded now.


    The preliminary report won't have had as much detail. There's other factors that will only have been properly investigated by the time the final report is written.


    There'll be a lot in it I'd imagine. Aeronautical databases and information, especially about obstacles like Blacksod. CHC's safety. Safety and survival equipment that contributed to two crew not being found.



  • Registered Users Posts: 22,329 ✭✭✭✭Esel


    This new thread needs to be linked from the closure party in the old thread.

    Also, the old thread should be linked to in the OP of this thread.

    Not your ornery onager



  • Registered Users Posts: 11,238 ✭✭✭✭Furze99


    "There'll be a lot in it I'd imagine. Aeronautical databases and information, especially about obstacles like Blacksod. CHC's safety."

    Suspect you may be close to it there. Wasn't the story at the time that they were flying 'blind' using a 3D navigation system that shows up the shape of the ground in front. And that the Blackrock they crashed into wasn't in the navigation database? Despite being a pretty high & large rocky island with a lighthouse plonked on it.

    So who supplied the navigation system, what data was on it and who was responsible for supplying the data?? Some commercial entity or the state? Whose responsibility was it to upgrade it or report errors in the data?

    And to what extent the pilots might have been partially to blame for not being aware of the limitations of the system.

    Those seemed to be the questions knocking about at the time in various media reports.



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  • Registered Users Posts: 2,979 ✭✭✭Stovepipe


    Upgrades to data in the aircraft are the responsibility of the operator. Normally,navigation data for flight management systems is updated every 28 days,for airliners. It's usually mandated in the Ops manual and is a legal requirement for EASA airspace. As for VFR navigating around at low level, the IAA sells the normal charts published by the Ordnance Survey. Navving around at low level IFR is another thing.........I suspect someone feels threatened. Families should not feel burdened by legal fees, ever.



  • Registered Users Posts: 43,028 ✭✭✭✭SEPT 23 1989


    Do people not know who the family of one of the crew actually is?

    what their previous role was?

    forgiving fees?



  • Registered Users Posts: 1,796 ✭✭✭lintdrummer




  • Registered Users Posts: 69,006 ✭✭✭✭L1011


    Just to point out that the mod note from the previous thread holds, as do any threadbans.

    Please keep replies civil, and respectful of the crew and their families.

    Please do not speculate as to any cause unless you have a factual basis to do so (and can back it up with information released to the public).

    There will be zero tolerance for troublemakers or those that choose to ignore these guidelines.

    There are other moderator messages in the thread, as a result of issues that have arisen, and we will be less forgiving going forward, due to the ongoing sensitivity of this incident

    As per normal boards guidance, any comments on moderation are off topic and should be addressed directly to mods or cmods by PM. Any part of posts which are off topic in such a manner may be edited or removed, with possible sanction. Non news posts will be moved to the parallel R116 Non news and discussion thread

    Should any new reports, updates or news stories come out, posts which can be boiled down to "I Told You So" or other triumphalism about previous commentary will result in significant punishment.

    Any threadbans will carry over to any replacement thread should this approach 10,000 posts

    The 10,000 posts thing is now old news, but this is the replacement thread. The ban on posts which mean "I Told You So" will be enforced without mercy - and on the current forum software, three infractions means a siteban for a month - so remember this.

    Additionally, there is no longer a split between news and discussion threads as there was in the short term after the incident so that instruction can be ignored.



  • Registered Users Posts: 69,006 ✭✭✭✭L1011




  • Registered Users Posts: 5,141 ✭✭✭rom


    https://en.wikipedia.org/wiki/2017_Irish_Coast_Guard_Rescue_116_crash

    The Air Accident Investigation Unit circulated a 333 page draft version of the final report into the crash in November 2019. The report was delayed, prompting a review - the first in the 25 year history of the AAIU



  • Registered Users Posts: 152 ✭✭Caledonia


    Would pilots & those in industry see it as mainly pilot error? (No blame!)

    Notwithstanding if report finds gaps in the info they had. I reckon media will find it 100% system error.



  • Registered Users Posts: 11,238 ✭✭✭✭Furze99


    What are the 'normal charts published by the Ordnance Survey'? If you refer to sheet 22 of the OSi Discovery Series, Blackrock island is shown but not in a satisfactory way. As it's too far off the coast, it's portrayed in a small inset map and furthermore with no indication of it's quite substantial height. We are obliged not to speculate but the fact as per that map anyway, is that it is inadequately mapped by the state on this particular publication. Which brings you back to a key question - who supplied the 3D data for the navigation system and who was responsible for correcting errors and omissions in it?



  • Registered Users Posts: 1,796 ✭✭✭lintdrummer


    It's often said in the industry "rubbish in, rubbish out". Usually with regard to programming data into a flight management computer and ensuring it's correct.

    I'd say it's a reasonable assumption that the data used by the navigation database developers comes from trusted sources such as ordnance survey charts. Surely there is no better authority on the topographical nature of the country than OSI. Perhaps there are other organisations who compile data such as this and sell it to the manufacturers of the nav systems, but the root source of the data either way is bound to be the state body who's job it is to measure and chart the island.



  • Registered Users Posts: 2,979 ✭✭✭Stovepipe


    The Ordnance Survey maps the island and those maps are the basis for all VFR charts,as the IAA are required to use the OS for sourcing it's maps. That's an ICAO requirement,even before you get into IFR and EASA. As for correcting errors,that tends to be reliant on the end user spotting errors and then sending that gen back to the OS or the IAA. If an operator buys in third-party nav data to upgrade their flight management systems,then they have a way to send back gen about errors to the creator of that data. Back in the day of manual Jeppesen charts and plates for IFR,you had a method of sending found errors back and it was usually corrected very quickly.



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  • Registered Users Posts: 11,238 ✭✭✭✭Furze99


    Hmmmm............. the state eh? It'll all become clearer when a report is released. But I know where my suspicions lie and the legal implications ensuing.



  • Registered Users Posts: 2,979 ✭✭✭Stovepipe


    The thing is,blaming the State is a get out of jail card for all parties;the aircrew don't get blamed, the operator doesn't and the AAIU can't assign blame. It is tradition in this part of the world that the dead aircrew don't get blamed, as they are not are around to explain themselves. Look at the Mull of Kintyre Chinook case.



  • Registered Users Posts: 9,507 ✭✭✭irishgeo


    What if it was reported and not fixed. That's a different can of worms. But let's say a previous pilot reported to their boss. Whose jobs isn't to get fixed on the database.

    Regardless of the fact. From the CVR they winchman or his colleague seen it with a his infrared device and told them to go around it and if not mistaken said it twice. Why the delay in turning.



  • Registered Users Posts: 71 ✭✭Innisfallen


    There was a mention of the crash in the Sunday Independent (https://www.independent.ie/irish-news/irish-air-traffic-control-in-crisis-staff-claim-as-they-call-for-transport-minister-eamon-ryan-to-investigate-40865030.html)a few weeks back, in short - the IAA being the regulatory body and the provider of services is an issue. My reading of the article is the IAA called for the review, but it isn't clear.



  • Registered Users Posts: 481 ✭✭mr.anonymous


    The split of the IAA into separate bodies for ATC and safety regulation has been coming for a number of years, 2015 at least.

    That article makes some alarming claims but how much of it is accurate?



  • Registered Users Posts: 1,796 ✭✭✭lintdrummer


    I'm hearing there may be something about this report on PrimeTime tonight.

    No idea how true that is.

    Edit to add it may be about the split of the IAA as referenced above.

    Post edited by lintdrummer on


  • Registered Users Posts: 4,478 ✭✭✭FishOnABike


    It does appear the helicoptor did take avoiding action in the final seconds but looking at this report https://www.thejournal.ie/rescue-116-report-3340583-Apr2017/ it would seem that there was not enough time to avoid the collision.



  • Registered Users Posts: 3,002 ✭✭✭EchoIndia


    The interim report has the CVR readout with timescale to the second, if anyone cares to download and read it. The original documents are in the public domain so you don't need to rely on journal.ie.



  • Registered Users Posts: 5,930 ✭✭✭Storm 10




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  • Registered Users Posts: 481 ✭✭mr.anonymous


    Final AAIU report due out tomorrow according to Prime Time (4 years, 8 months after the accident).



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