Several Factors Led to July 2011 Runway Overrun at the St. John's International Airport

Several Factors Led to July 2011 Runway Overrun at the St. John's 
International Airport 
GATINEAU, QC, Feb. 13, 2013 /CNW/ - The Transportation Safety Board of Canada 
(TSB) today released its investigation report (A11A0035) regarding the 16 July 
2011 runway overrun of a Kelowna Flightcraft Boeing 727 cargo aircraft at St. 
John's International Airport, Newfoundland and Labrador. There were no 
injuries to the three crew members, and damage to the aircraft was minor. 
TSB investigators found that the aircraft landed at a higher than normal speed 
and almost 2000 feet down the runway. This meant that there was less runway 
distance available to stop. A combination of worn tires and a wet runway 
caused the aircraft to hydroplane during braking, resulting in a loss of 
directional control and the runway overrun. 
This accident underscores why the issue of runway overruns is on the TSB 
Watchlist and why action is needed to prevent future occurrences. Pilots need 
timely reports on runway surface conditions to prepare for safe landings. When 
an overrun occurs, longer runway-end safety areas, or engineered systems and 
structures designed to stop aircraft, can prevent injuries and aircraft damage. 
At the time of the accident, the runway surface-condition reporting standards 
did not provide clear direction for rainy conditions or wet runways. The 
investigation found that some employees of the airline did not understand the 
obligations for reporting incidents under the safety management system 
(SMS)—SMS is also on the TSB Watchlist. Although training was provided on 
SMS and reporting requirements, there was no specific guidance on what may be 
considered a reportable hazard. If all employees do not fully understand their 
reporting obligations, some safety issues go unreported, which increases the 
risk that those issues might not be identified and mitigated. 
Since the accident, Kelowna Flightcraft has improved training for its pilots 
on landing distances, braking, wet and contaminated runways, and crosswind 
landings. The St. John's International Airport Authority implemented an 
expanded runway-friction testing program to gain a better understanding of the 
overall condition of their runways when they are wet. 
|The Watchlist — based on an analysis of hundreds of TSB        |
|investigation reports, safety concerns and Board recommendations     |
|— identifies the transportation safety issues that pose the    |
|greatest risk to Canadians. In each case, the TSB has found that     |
|actions taken to date are inadequate, and that industry and the      |
|regulators need to take additional concrete measures to eliminate the|
|risks.                                                               |
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. 
TSB Media Relations 819-994-8053 
Find us on the Web Follow us on Twitter@TSBCanada. 
Watch us on YouTube/TSBCanada. 
SOURCE: Transportation Safety Board of Canada 
To view this news release in HTML formatting, please use the following URL: 
CO: Government of Canada
ST: Quebec
-0- Feb/13/2013 16:00 GMT
Press spacebar to pause and continue. Press esc to stop.