Aviation Investigation Report A11Q0028, Risk of collision between two DHC8s, Puvirnituq Quebec, 7 Fe

Aviation Investigation Report A11Q0028, Risk of collision between two DHC8s, Puvirnituq Quebec, 7 Fe

Publication info
Author
TSB (Canada)
Category
Accident Reports Human Factors Loss of Separation Level Bust

On 7 February 2011 two Air Inuit DHC8s came into head-to-head conflict en route over the eastern shoreline of Hudson Bay in non radar Class ‘A airspace when one of them deviated from its cleared level towards the other which had been assigned the level 1000 feet below. The subsequent investigation found that an inappropriate FD mode had been used to maintain the assigned level of the deviating aircraft and noted deficiencies at the Operator in both TCAS pilot training and aircraft defect reporting as well as a variation in altitude alerting systems fitted to aircraft in the DHC8 fleet.

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