Final Report DH8A (C-GTCO), Royun-Noranda QC Canada, 23 Jan 2019

Final Report DH8A (C-GTCO), Royun-Noranda QC Canada, 23 Jan 2019

Publication info
Author
TSB Canada
Category
Human Factors Runway Excursion
Date of publication
09/03/2020

On 23 January 2019, a Bombardier DHC8-100 failed to complete its intended night takeoff from Rouyn-Noranda after it had not been commenced on or correctly aligned parallel to the (obscured) centreline and the steadily increasing deviation had not been recognised until a runway excursion was imminent. The Investigation attributed this to the failure of the crew to pay sufficient attention to the external perspective provided by the clearly-visible runway edge lighting whilst also noting the Captain's likely underestimation of the consequences of a significant flight deck authority gradient and a failure to fully follow relevant applicable operating procedures.

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