Confidential Human Factors
Incident Reporting Programme
The Charity
Aviation
Maritime
FC5350
FTL vs report point
20.07.2024
FC5342
Insufficient time allowed for duties
GHS070
Unacceptable treatment by security
ATC843
Procedural Control fallback
ENG752
Commercial pressure and lack of certifying manpower
FC5340/FC5341
Briefing on the bus
CC6572
Operated a flight with 6 crew, the minimum is 8
12.07.2024
FC5332(C)
Fitness to fly
CC6471
Pressure to depart from home base in discretion
CC6577
Delayed Report Confusion.
CC6507
Briefing Down-route
FC5322(C)
Operating pressures
CC6468
On-time departure pressures put on SCCMs
GA1362
Engine stop on landing
15.05.2024
GA1361
EFATO and heavy landing
GA1364
Airspace infringement
GA1363
Distraction from the task
GA1360
Lack of flexibility (and capacity)
GA1353
Unsuitable conditions for students
DUASxx17
Collision with wind turbine
24.04.2024
DUASxx16
Inadvertent flight above 400ft
DUASxx15
Collision during swarming
DUAS29
Unexpected move post-launch
DUAS30
Flew through electricity cables
FC5327
Interpretation of FTLs
22.04.2024
FC5332
15.04.2024
FC5309/FC5319
Unticking MOR boxes in ASRs
FC5315/FC5326
Airport remote car parking
ATC841
Lack of controller understanding
ENG739
Engineering concerns
CC6461
Crew Using Personal Phone Devices at Critical Stages of Flight
27.03.2024
CC6348
Pushing for an on-time departure, compromising safety
CC6453
Fatigue induced sleep whilst manning door
CC6345
Reduced Safety Equipment
CC6426
Crew Working Whilst Sick
CC6397
Strong smell of fuel in the cabin
CC6466
Neurodiverse Crew
CC6328
Cabin crew training
GA1357
Near-miss between skydivers
27.02.2024
GA1354
Mixture mix-up
GA1355
Circuit traffic conflict
GA1358
NOTAM Understanding
FC5307
Fatigue vs sickness
29.01.2024
FC5252/FC5293/FC5317
Sickness/Absence policies
FC5312
Unrealistic Ground transportation time
FC5290/FC5294
Inability to contact Ops/Crewing
FC5301
Breakdown in CRM
FC5300
FDP start time later than arrival for work
FC5297/FC5298/FC5299/FC5308
Commander’s Discretion
FC5305
Runway closures
FC5304
Flight Crew/Engineer interactions
ENG737
Incorrect use of MEL
FC5292
RNP Approaches and mis-setting QNH
DUAS28
Propellor icing
04.01.2024
DUAS27
Information not diseminated
DUAS26
Broken propellor flanges
DUAS25
Lost sight of drone
DUAS24
Minor collision with window catch
FC5275(C)
Disruptive PAX
13.12.2023
CC6305
Experience Levels
11.12.2023
CC6337(C)
Flight deck rest
CC6343
Potential and actual fatigue due to poor rostering
CC6265
Legality of long-day two sector duties
CC6325
Arming of doors against SOP
CC6405
Alcohol; Airport consumption
GA1352
27.11.2023
GA1349
Radio Issue
GA1348
Change of Circuit Direction to Suit Straight-in Landing Business Jet
FC5258
Call from standby
31.10.2023
FC5256
Absence management
FC5255
Cumulative fatigue
FC5277
FC5274
Financial incentives being paid to close doors on time
FC5275
FC5280 / FC5281 / FC5282
18hr awake ‘rule’
ENG729
Part M/145 organisation resources
FC5246
Simulator unfit for training
CC6337 (AT)
Flight Deck Rest
ATC833
Rest-period tasks
DUASxx10
Probable Battery Disconnection
20.08.2023
DUASxx11
Rapid Loss of Power
DUAS22
Loss of C2 link
DUAS23
Low Temperature Power Loss
DUASxx13
Obstacle Collision
DUASxx14
Loss of Visual Contact (BMFA)
GA1345
PA28R Undercarriage Woes
18.08.2023
GA1344
Pleasure Flights Within the Circuit
GA1343
Pitot cover left on
GA1341
NOTAM Information Missing or Incomplete
GA1319
Infringements – or what almost happened
FC5230
Trainer fatigue
26.07.2023
FC5241/FC5251
Absence policy
FC5240
Online learning
FC5250
Stable Approach Criteria changed without notifying pilots
FC5254
Altitude deviation
ATC834
Degradation of core safety values
FC5253
Incorrect hold entry due to chart confusion
CC6321
ULEZ support solution and FTL
13.07.2023
CC6250
Passenger Bags
CC6263
Fatigue due to inadequate cabin crew rest provision
CC6209
Too high a percentage of inexperienced crew
CC6119
Contaminated water
CC6153
Evacuation Alarm
GA1340
Information passing
31.05.2023
GA1339
Missed second aircraft on Final
GA1336
Loss of communications
FC5221/FC5227/FC5228/FC5235/FC5236/FC5238
Rostering and Duty Periods
19.04.2023
FC5223/FC5229
Punitive and unsafe sickness policy
ENG720
Lack of stand capacity resulting in aircraft repositioning
FC5222
Extended FDP usage
FC5209/FC5212
Commander’s discretion
DUASxxx9
Drone-Aircraft collision
13.04.2023
DUASxxx8
RPAS ran out of power
DUAS20
Damaged propellor after landing
DUAS19
Spatial awareness
DUAS18
Battery installation failure
DUAS16
Unintended deployment of Flight Termination System
FC5183(C)
Distractions at critical stage of flight
04.04.2023
CC5886
SOPs not being adhered to
CC5883
Minimum Crew
CC5878
Fatigued
CC6147
CRM
CC6113
Working During Rest Periods on Layovers Down-route
CC5763
Tech issue with Aircraft.
CC6004
Too much hand luggage
CC6132
Pre-Flight Notices to read
27.03.2023
GA1338
Slippery PA38 access step
28.02.2023
GA1337
Know your limits
GA1335
Drop Zone penetration
GA1333
Propwash
GA1330
Runway markings
GA1329
Departure distraction
GA1328
Potential RA(T) infringement
GA1327b
Airfield avoids
GA1327a
Wrong frequency
FC5196
Inadequate crew bunks
30.01.2023
FC5204
Temperamental headsets
ENG723
Differences in corporate risk taking and application of the MEL
FC5203
New Flight Planning System woes
FC5215
Impact of ATC closures
FC5206
Aircraft V1 callouts
ATC826/ATC827
Participating in Zoom call whilst on duty
DUASxxx7
Bystander injury
14.12.2022
DUASxxx6
F4 Scale Phantom crash
DUAS17
Beware of Google maps
DUASxxx5
Inadvertent switch selection
DUASxxx4
Safety Management Systems
ATC825
Use of Guard channel for practice PANs
06.12.2022
GA1331
Awareness
GA1332
Take-off with one magneto
GA1324
Incorrect pressure setting
GA1321
Dual-reading ASI
ATC829
A/G Operator
GA1322
Windy taxy
GA1320
Student EC rebate eligibility
ENG712
Safe working
26.10.2022
FC5188
Company communications
FC5219
CRM issues
FC5183(A)
FC5182(A)
Inexperienced cabin crew
GA1318
Possible Class D infringement
02.09.2022
GA1317
Mag Switch found selected to ‘BOTH’ with key removed
GA1314
Overtaken in the circuit
GA1313
Reduced Power after Take-off
GA1312
Obstructed Trim Controls
DUASxxx3
Battery Ejection – BMFA report
24.08.2022
DUASxxx2
USAF RQ-4B Accident Report – System awareness
DUASxxx1
AAIB-27040 accident report extract – DJI Matrice M210 flight in strong winds
DUAS14
Flyaway of DIY Drone
DUAS13
Landing Site Incursion
FC5090
Crews operating into UK extremely fatigued #1
10.08.2022
FC5093
Crews operating into UK extremely fatigued #2
FC5098
Report Time
FC5102
Removal of TC Role
CC5791
CC5821
Rest arrangements
FC5182(C)
FC5117
Fuel Tables
CC5910
High Levels of Fatigue within the Company
CC5881
Minimum Rest Requirements
CC5862
Lightning Strike
FC5106(G)
Basic UPRT flight school training
07.07.2022
FC5082
Airline grossly under-crewed
ENG706
Engine maintenance practices
FC5092
Sanctioned company violations
ENG710
Punished for mistakes
ENG709
Charging oxygen systems on the ramp
FC5106(A)
FC5107
Approach Ban
ENG711(A)
Fuel selector incorrectly installed
FCxxx1
Fatigue from Rostering
FC5109
Enforced part-time
CC5785
Operated unfit due to fear of repercussions
GA1304
HANKY Hotspot
GA1305
GA Recency
GA1306
Intense distracting external noise in headset
GA1307
Event involving Luton Radar
GA1309
Camera & Equipment Mounts
GA1310
Misheard QNH
ENG711(G)