What happened
While the provided source material focuses on the aftermath and recommendations of an investigation, it highlights the inherent risks associated with Specialized Operations (SPO), such as banner towing. These operations, governed by European regulations, carry a higher risk profile for pilots, operators, and third parties compared to standard aviation activities.
The investigation
The Dutch Safety Board (OVV) identified a concerning trend regarding safety culture within the general aviation sector. Specifically, the investigation revealed a reluctance among personnel to report unsafe situations. This lack of reporting affects both internal company safety and the ability of the Aviation Occurrence Analysis Agency (ABL) of the Human Environment and Transport Inspectorate (ILT) to monitor industry-wide risks.
Findings
- The investigation noted that safety management within certain specialized operators lacks the necessary structure to identify and mitigate maintenance and operational hazards.
- There is a critical need for improved communication regarding safety matters between companies and their contracted personnel, including technicians and pilots.
- A lack of effective regulatory oversight and insufficient inspection capacity within the ILT were identified as systemic issues affecting the safety of the SPO sector.
Safety action
To address these vulnerabilities, the Dutch Safety Board issued several recommendations:
- CNE Air is advised to implement a safety management system tailored to its operational needs, ensuring clear responsibility for safety and better communication with all staff.
- The Minister of Infrastructure and Water Management is urged to establish an effective oversight program for SPOs, including mandatory flight, ground, and ramp inspections.
- The ILT must increase its oversight capacity to ensure all SPO operators are included in inspection programs, with a target for comprehensive coverage by March 2022.
- All Specialized Operations Operators are encouraged to apply the lessons learned from this investigation to their own safety protocols.