TSB Issues Update on Fatal Crash of Beaver Seaplane at Lyall Harbour, British
Columbia
GATINEAU, QC,
The TSB team is now engaged in the analysis of all data gathered to date and is working towards drafting its report for the next phase of the investigation - internal review.
Work Completed to Date
The team has done a significant amount of work. It oversaw the recovery of the aircraft from Lyall Harbour and its transport to the TSB facility in
Factual Information
The Seair de Havilland Beaver was departing Lyall Harbour, Saturna Island, at about
The wreckage was retrieved from the bottom of the bay and transported to a facility in
Neither of the survivors donned lifejackets and none of the available lifejackets had been removed from the aircraft. Five were still in their storage pouches. Five of the passengers remaining in the aircraft were free from their seatbelts.
The aircraft appears to have been in good serviceable condition before impact. Records indicate that there were no outstanding maintenance deficiencies, and that all of its modifications were approved.
This accident echoes the findings from previous TSB investigations including:
- occupants of submerged seaplanes who survive the accident continue to be at risk of drowning inside the aircraft; - occupants who escape a submerged seaplane may drown without floatation assistance; and - seaplanes may not be optimally designed to allow easy occupant escape while under water.
Investigation Activities in Progress
Flight tests on a similar aircraft are planned to acquire performance numbers in different configurations, and those will be compared.
Wind conditions at the time of the accident are being analysed to determine if they may have been a factor in the accident.
At the same time, investigators are researching other floatplane accidents in order to examine the recurring risks and what can and should be done to mitigate those risks. We are looking at our past safety communications and at the responses from the regulator and industry to resolve the concerns raised by the TSB. While the Board is not making new recommendations at this time, this investigation has focused the TSB's attention on a number of issues regarding jettisonable or push-out emergency exits on seaplanes, underwater egress training for air crew, pilot training for flight in mountainous areas, aircraft handling characteristics, and the wearing of personal floatation devices.
Cooperation with Others
The survivors and the families and loved ones of those lost in this accident are first in the thoughts of the TSB investigation team. We keep in contact with those involved and hope that our efforts will help everyone understand what happened, why it happened and what needs to be done in the future to prevent its recurrence.
Transport
The Investigator-in-Charge is working closely with the British Columbia coroner to identify the risks to persons and mitigation strategies.
Next Steps in the Investigation Process
Once all the available data are analysed, an initial draft investigation report will be completed, the Board will review it and an approved confidential draft report will be sent to persons and corporations whose interests may be affected by the report and who are most qualified to comment on its accuracy. They then have the opportunity to dispute, correct or contradict information that they believe is incorrect or unfairly prejudicial to their interests.
This process is intended to ensure procedural fairness and the accuracy of the Board's final report. The Board considers all representations (comments) and will amend the report if required. Once the Board approves the final report, it is prepared for release to the public.
As the investigation continues, should the TSB identify risks requiring immediate action, it will issue safety communications advising industry and regulators what needs to be done to improve safety in this important segment of the aviation industry.
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.
This news release, the photo gallery, and previously published material (Safety Study SA9401 and TSB Report A04W0114) can be found on the TSB website at www.bst-tsb.gc.ca.
For further information: Media Relations, Transportation Safety Board of Canada, Telephone: (819) 994-8053
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