April 2020 | www.sayer.com
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ACCIDENT INVESTIGATION
ICAO Annex 13 prescribes that every member state must have
an aviation accident investigation authority. The Annex emphasises
that, “The accident investigation authority shall have independence in
the conduct and have unrestricted authority over its conduct...” in the
gathering, recording and analysis of evidence, the issuance of safety
recommendations, the determination of causes and the completion
of a nal report.
In the United States, accident investigations are conducted by
the NTSB, the National Transportation Safety Board, which is entirely
independent from the FAA or other bodies. In the United Kingdom,
there is a similarly independent AAIB, or Air Accidents Investigation
Branch. Other ICAO member states have independent accident
investigation authorities, or less developed nations may use the
services of an authority from another state in order to give effect to
Annex 13.
South Africa’s 2009 Civil Aviation Act devotes an entire chapter
to the establishment of an independent Aviation Safety Investigation
Board (ASIB). Chapter 4 of the Act is devoted to the strict
independence of an ASIB, its jurisdiction, powers, public nominations
of board members and their own independence from political and
commercial vested interests. Accident reports must be published to
the public, since unbiased accident ndings are of crucial interest to
the industry and regulator in improving and correcting safety issues,
as well as to passengers and personnel.
Several years ago, the Minister of Transport gazetted a call
for nominations for members of the ASIB, and AOPA submitted
nominations of three eminently suitable, qualied and experienced
candidates. However, the Minister never established an ASIB as
prescribed by the Act, leaving accident investigations to a department
of the CAA, whose investigators are employed and remunerated by
CAA.
More than a year ago, there were two tragic accidents involving
Boeing 737 Max aircraft which were operated by Indonesian and
Ethiopian airlines, both countries are considered to be “developing
nations” within the purview of ICAO’s NCLB campaign. Indeed,
questions have been raised, particularly regarding Ethiopia’s
preliminary accident report which appears to lay the blame for its
accident solely at Boeing’s doorstep, while underplaying probable
deciencies in the airline’s training, procedures and crew skills. This
has been extremely damaging to Boeing, with the entire 737 Max
worldwide eet having been grounded for over a year. Further, the
Ethiopian accident report’s assessment of the Ethiopian Airlines
Flight 409 Boeing 737 crash after takeoff from Beirut has been widely
contested by other aviation authorities.
More recently, SACAA’s Cessna Citation C550 calibration aircraft
crashed into mountains near George in the Western Cape. All three
crew, employees of CAA, perished in the accident. CAA nevertheless
proceeded to investigate the accident themselves, notwithstanding
an outcry from industry and the media that it was wholly inappropriate
for CAA to investigate an accident involving an aircraft owned and
operated by itself and crewed by its own employees.
ICAO published the audit results of member states on its website.
The global average of implementation of ICAO standards for accident
investigations stands at a dismal 57.31%. Indonesia’s implementation
is little better at 65%. Ethiopia manages an implementation of
accident investigation at 66.67%. This is contrasted with ICAO’s 2017
audit of South Africa’s CAA implementation of accident investigation
standards, placing it at an astonishing 90.91%. To put this into
perspective, ICAO rates the USA’s ASIB implementation at 81.32%
and the United Kingdom at a mere 82.95%.
It appears from their own data that ICAO rates South Africa’s
accident investigation capabilities way above the most advanced
aviating nations in the world, even though our CAA accident
investigation division cannot be considered to be independent, and
most certainly not when investigating accidents involving its own
aircraft, operations and crew. To top it off, although South Africa
has legislation that scrupulously gives effect to Annex 13, this has
never been implemented, the Minister and CAA having made lame
excuses for not observing legislation enacted by Parliament more
than a decade ago.
So how could ICAO have given the SACAA and for that matter
the Ethiopian Accident investigation capabilities such a high rating?
QUESTIONS:
This state of affairs begs several questions:
Does ICAO implement its NCLB campaign by simply overlooking
deciencies in developing countries?
Or did CAA somehow hoodwink ICAO into believing that
SA’s accident investigation deserves a stellar 90.91% gold star of
compliance – better than the USA, Russia, Austria, New Zealand and
most other European and Asian countries?
Or did they work together to mislead the rest of the world?
Does this explain the almost rabid hostility towards AOPA and our
criticisms which got a little too close to the bone?
And does this place ICAO’s audit of CAA into question on aspects
other than just accident investigation?
I have my own conclusions. You make up your own mind.
AOPA BRIEFING
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The objectives of the accident investigation safety board.