Its sole aim is the advancement of transportation safety. Simpson Air (1981) Limited decided it would no longer operate the Cessna 206 on floats. Involvement at the international level The survey responses informed subsequent panel presentations and other discussions the TSB held with industry members at meetings of the Air Transport Association of Canada, Helicopter Association of Canada and Canadian Marine Advisory Council in November 2019, and the Canadian Aviation Safety Collaboration Forum in January 2020. The 48 incidents in 2019 are considerably fewer than the average of 99 per year over the previous 10 years. Collision with terrain, Hydro One Networks Inc., Airbus Helicopters AS 350 B2 (helicopter), C-GOHS (commercially operated aircraft), Tweed, Ontario, 8 nautical miles NNE, 14 December 2017. It also referenced following best practices such as broader range scanning to ensure all aircraft are accounted for when opening and closing sectors. The company also improved its emergency response program to clarify expectations for engaging stakeholders in emergency response exercises. The TSB further advised Transport Canada that it needs to review current inspection methods to ensure they are a reliable way to identify the unsafe condition. It is not the function of the Board to assign fault or determine civil or criminal liability. Steps we had already taken, including introducing electronic, and portable, business tools—along with excellent work from our information management and technology teams—have allowed us to continue operating with little disruption throughout the ongoing pandemic period. *This was a comprehensive, five-year study of safety issues in the air-taxi sector. Eight accidents in 2019 involved a release of dangerous goods. The short break the yard helper took from his post shifted his focus away from his duties. NAV CANADA reported that the Halifax Terminal and Halifax Tower conducted a joint two-day refresher that included the winter operations briefing and giving staff a first-hand look at the airport layout so they could better understand the subtleties of the operation. Available files for 2020 . One of the shortcomings the TSB identified during its investigation was the limited recording capacity of the aircraft’s cockpit voice recorder (CVR). Aries Aviation International purchased individual cannula-style oxygen masks for each of its pilots. All of them were incidents rather than accidents, compared to the one accident in 2018. A year ago, we added 60,000 a month. The Board Chair and TSB officials appeared before the House of Commons Standing Committee on Transport, Infrastructure and Communities twice in 2019–20. Maintenance of railway crossing: A SECURITAS report noted that planks moved up and down when a crossing was traversed. The Employees’ Retirement System of Rhode Island (ERSRI) Actuarial Valuation Annual Report describes the actuarial condition of ERSRI, determines recommended employer contribution rates, and analyzes changes in these contribution rates. It provides an overview of how we are structured, what we do and where, our strategic plan, the principal risks we face, and high-level performance information. Among the 2019 fatalities, 38 involved trespassers, compared to 34 in 2018 and the 10-year average of 43. Ottawa, Ontario K1A 0A3. The Republic of Liberia, the flag state for the Sage Amazon, conducted an investigation into the occurrence and recorded it in its files for future reference and analysis. This generally involves travelling to the scene of the occurrence, securing the site and documenting it, conducting interviews and selecting wreckage for further examination. The Northern Air Transport Association indicated it would continue to help improve the overall system safety and promote the investigation through, for example, events taking place as part NATA 44, the northern and remote aviation conference that was to have been held in Whitehorse in April 2020. The track supervisor directed an immediate inspection and found slight movement of the planks. The TSB issued additional safety advisories in 2019–20 as part of investigations into derailments and releases of dangerous goods. In particular, André Lapointe, a seasoned public service executive, became the TSB’s new Chief Operating Officer. From 2005 to 2018, the TSB received reports of 26 girding occurrences resulting in 21 capsizings. With an increase in average weekly earnings of 3.4% in the year to Q3 2019, consumer spending and disposable income grew by 5.2% and 6.6% respectively in the year to H1 2019. This occurrence, involving the Spirit of Vancouver Island, also took place at the Swartz Bay Ferry Terminal, a few months after the Queen of Cumberland occurrence. Rail Safety Advisory 617-03/20 advised Transport Canada that the current. Transport Canada stated that it believed that the company, having taken these actions, had adequately addressed the TSB’s concern. The TSB issued Rail Safety Advisory 617-02/18, “Deterrence of trespassing activity on railway property,” to Transport Canada and Operation Lifesaver on 17 May 2018. It stated that, given the potential risks when trains operate through work sites, Transport Canada might wish to review the application of Rule 42 of the Canadian Rail Operating Rules. TSB Annual Report to Parliament 2019–20 | 1 THE YEAR IN RESULTS In 2019–20, staff from the Transportation Safety Board of Canada (TSB) assessed thousands of Lifeboat release hook failure, passenger ferry Northern Ranger, Nain, Newfoundland and Labrador, 11 October 2017. In addition, if changes to operational procedures and training are not made, the crew may not be proficient in the use of the equipment. Recommendation A19-02: that Transport Canada collaborate with industry associations to develop strategies, education products and tools to help air-taxi operators and their clients eliminate the acceptance of unsafe practices. The TSB’s investigation (A17O0264) into the December 2017 collision with terrain of a Hydro One Networks Airbus Helicopters AS 350 B2 near Tweed, Ontario, revealed that a bag that was inadequately secured blew off an external platform, struck the tail rotor in flight and rendered the aircraft uncontrollable. A next-generation runway weather information system was installed in July 2019, doubling the number of sensors on the field. Through a memorandum of understanding with Employment and Social Development Canada, Transport Canada conducted an investigation under Part II of the Canada Labour Code into the yard helper’s death. Transport Canada expects to be better positioned by summer/fall 2021 to determine whether a regulatory proposal would be appropriate. In light of this, the Board recommended (Recommendation A99-02) to Transport Canada and the European Joint Aviation Authorities that, as of 1 January 2005, all aircraft that require both a flight data recorder and a CVR be required to be fitted with a CVR having a recording capacity of at least two hours. Operation Lifesaver indicated in its response that it would continue to focus on delivering anti-trespassing messages to Canadians in an effort to reduce the number of trespassing incidents. Board members then review and rate these responses. The overall number of accidents reported has increased each year since 2016, with the 2019 total (1739) being almost 5% above the 2018 level (1660), and 7% higher than the 10-year average of 1626. Transport Canada, Quad City and other agencies are working together to determine the causes of the failure and to publish safety alerts with amended maintenance directives and inspection processes. Annual Report 2019. Improvements to older aircraft: Transport Canada is currently updating Airworthiness Manual Chapter 523 Normal, Utility, Aerobatic and Commuter Category Aeroplanes to facilitate design changes on normal category airplanes. Nonetheless, there were still 92 outstanding recommendations, slightly less than half of which date from 10 years ago or more. Nunatsiavut Marine Inc. prohibited the crew from being in lifeboats during retrieval. British Columbia Ferry Services Inc. has taken the following safety actions: Possible bottom contact, bulk carrier Maccoa, Kahnawake, Quebec, 6 November 2018, Taking on water and sinking, fishing vessel Charlene A, Boutiliers Cove, Nova Scotia, 1 December 2018, Striking of a wharf, roll-on/roll-off passenger ferry Apollo, Godbout, Quebec, 25 February 2019, Pipeline rupture and fire, Westcoast Energy Inc., 36-inch transmission south mainline loop, kilometre post 29.838, Prince George, British Columbia, 9 October 2018. These investigations accounted for 52% of the total cases closed during the year. The TSB encouraged Transport Canada to work with the manufacturer to amend the procedure to include specific information about the possibility that the aircraft may not respond to anti-skid brakes and nose wheel steering input if two proximity sensors have failed. This compared to a pre-tax loss of £105.4m in 2018. Gatineau, Quebec, 17 July 2019 – Today, the Transportation Safety Board of Canada’s (TSB) Annual Report for 2018–19 was tabled in Parliament. Combined with a review of Transport Canada’s service difficulty reporting system, which did not identify any additional instances of in-service lift strut failure, Transport Canada concluded that the potential for corrosion in Piper aircraft lift struts is effectively managed and fleet wide safety action was not required. Among the recommendations closed as Fully Satisfactory were Recommendation A99-02 and Recommendation A99-03, which date from 1999 and which the Board had issued in the wake of the Swissair accident off the coast of Nova Scotia the previous year. The Halifax International Airport Authority implemented a mandatory briefing checklist to ensure that the outgoing airfield maintenance supervisor properly briefs their incoming counterpart during shift changeovers in inclement weather. Over the years, these doors have been identified as a risk to passengers in emergency situations. In consultation with the railway, city officials finalized engineering drawings for various measures to improve pedestrian safety at the crossing, including modifying the pedestrian walkway and renewing the pavement marking to delineate the sidewalk. You will not receive a reply. If pipeline emergency response exercises are not conducted periodically with all potentially affected stakeholders, gaps in emergency response plans may not be identified, thereby increasing the risk that all parties will not be sufficiently prepared to respond to a pipeline emergency. Contact us. Training will also be enhanced for both pilots and maintenance engineers in light of the overall decrease in workforce experience in the aviation industry. The intent of this regulation is for passengers to always use shoulder harnesses when they are available. Not knowing when this will happen, Transport Canada reported that it is planning to take proactive action by issuing a unilateral airworthiness directive to remove the punch test as an inspection method for detecting lift strut corrosion. The remaining 12 recommendations the Board reassessed in 2019–20 obtained the following ratings: Satisfactory Intent (9) and Satisfactory in Part (3). Main-track train derailment, Canadian Pacific Railway, freight train 142-14, Mile 36.6, Winchester Subdivision, Saint-Polycarpe, Quebec, 16 July 2018. The entry point at St-Félix de Valois (UFX) was eliminated in the summer of 2018, considerably reducing the probability of confusion over control responsibilities for a non-standard flight operating within Montreal Terminal. In 2019–20, the TSB began 66 new investigations and completed 50 across all four transportation sectors (aviation sector reports; marine sector reports; pipeline sector reports; rail sector reports) and in all four classes (from in-depth and complex to limited scope). Aéroports de Montréal (ADM) put an additional supervisor on duty for the rest of the day of the occurrence and held a debriefing with the team leader and convoy lead. This period was a good opportunity to consult stakeholders to obtain their insights into the issues—including multi-modal issues such as fatigue management, and safety management and oversight—and learn about any actions they are taking to address them. In addition, the directive notes that the FAA now requires 206s to include a door at the front on the right-hand side of the cabin. This led him to incorrectly align the locomotives carrying out the switching activities away from the destination track. They work in collaboration with engineering and technical specialists, human factors investigators and industry analysts, all of whom are supported by small teams of communications specialists, corporate services professionals and administrative officers. The department also released FlagStateNet FSN 01-2019 to bring this incident to the attention of inspectors and surveyors, and provided guidance material to all marine safety inspectors and recognized organization surveyors on monitoring vessels equipped with these life-saving appliances. Consequently, the TSB began no new investigations in 2019–20. The amendment to the LFVR is expected to be published in the Canada Gazette, Part I in the fall of 2020. It identifies safety deficiencies arising in transportation occurrences and makes recommendations to eliminate or reduce them. Financial Review (PDF 2MB) This assessment includes the possible effects the modification would have on other parts of the Regulations. With the completion of two investigations in the last three years into the fatal injury of a person in a wheelchair at a railway crossing, the TSB continues to shine the spotlight on the need to improve safety at crossings designated for persons using assistive devices. Another operations directive emphasized uniformity of work methods and the need to take extra care when opening and closing sectors. Permanent TSB plc - Annual Report 2019 1. Q4 - full year. ADM reviewed its procedures on preventing runway incursions during operations and modified three safe work practices to indicate the following: ADM has modified its training for employees by adding presentations that deal specifically with runway incursions. Permanent TSB Websites. With the goal of sharing best practices and learning from the experiences of others, attendees covered topics such as safety deficiencies, studies and recommendations, investigation techniques, and training and recruiting strategies for investigators. This occurrence confirms the TSB’s view that when railways do not develop and implement procedures for the safe loading and securement of rail cars, and do not train personnel to assess top loading, cargo may not be properly loaded and/or secured. ANNUAL REPORT 2019. tsb community TRUST VISION To be a champion of positive opportunities and an agent of benefi cial change for Taranaki and its people now and in the future. There were no pipeline-related reports to SECURITAS in 2019–20. The Board issued Recommendation A19-01: that Transport Canada amend the Canadian Aviation Regulations to remove any ambiguity associated with the definition of “safety belt.”. In-flight separation of right wing, Quad City Challenger II (advanced ultralight), C-IGKT (privately registered aircraft), North Bay, Ontario, 14.3 nautical miles E, 30 July 2018. The TSB issued Marine Safety Advisory MSA 04/18 regarding the models of the release hooks involved in this occurrence. Fatalities involving commercially operated flights were mainly in the air-taxi sector. Download the report. The total number of resulting fatalities (70) was the highest since 2010 and included 11 deaths in foreign-registered aircraft operating in Canada. In the report phase, investigators draft a report on the investigation, which then goes through a review and approval process, prior to public release. The investigation also highlighted a number of risk factors. TSB Bank plc. 200 Promenade du Portage The Service Bulletin recommended that the inertia switch be tested annually for proper operation and be replaced every five years. Annual Report & Disclosure Statement (for the year ended 31 March 2020) (PDF 4.7 MB) Summary Annual Report (for the year ended 31 March 2020) (PDF 4.36 MB) QFE Disclosure Statement (PDF 43.26 KB) Disclosure Statement (for the six months ended September 2020) (PDF 2.53 MB) Transport Canada will consult with industry by the end of 2020, evaluate what has already been done regarding data collection and reporting, determine what data/information is missing and consider the requirements and best approaches for obtaining the necessary activity data. In it, the TSB alerted Transport Canada and industry stakeholders to the risks associated with unsecured cargo and unrestrained passengers in helicopters, and advocated for prompt action to address this safety issue. This is up from 125 in 2017 and from the 10-year average of 127. Excellence: We maintain a highly skilled and knowledgeable team of professionals through leadership, innovation and commitment to continuous improvement in the delivery of our products and services. Stock Code Share Price Opening However, the FAA indicated that, after its investigation with the aircraft manufacturer, it is moving towards removing the punch test as an inspection method. As we continued in these traditional roles in 2019–20, there was change among the Board and senior management. The combination of these two characteristics created a hazard, since a moving vehicle might strike pedestrians as they veered around the crossing signal masts. In May 2019, the railway installed more fencing between the overpass barrier and the edge of the fence, and installed another “No Trespassing” sign. Virgin Money UK PLC – 2019 Pillar 3 Report (opens in a new window) Annual report 2018. Discussing and approving the 2019 Annual Report of the Board of Directors and reading the Audit Board Report, current situation in business plans and General Secretariat presentation on high-level meetings with various Ministries and Official Institutions, 5. The TSB released two videos in 2019–20, which are available on its YouTube channel: In conjunction with the release of the report of an in-depth TSB investigation into safety issues in Canada’s air-taxi sector, Board Chair Kathy Fox penned an article for Wings magazine about the need to raise the bar on air-taxi safety. Of the 13 rail investigations the TSB completed in 2019–20, 8 were detailed class 3 investigations and 5 were limited-scope class 4s. The elimination of the UFX entry point is intended to reduce the likelihood of such an event reoccurring. To address these issues, the Board issued four recommendations aimed at improving safety in the air-taxi sector of Canadian aviation—a sector that continues to have more accidents, causing more fatalities, than all other sectors of commercial aviation in Canada combined: The Board received responses to these recommendations in the first quarter of 2020 (see Appendix A for details) and completed its assessment of them in March 2020. The four crew members on board were injured. Registered office: Henry Duncan House, 120 George Street, Edinburgh EH2 4LH. The TSB issued additional safety advisories in 2019–20 as part of investigations into marine occurrences: The Board reassessed 20 marine recommendations in 2019–20, closing none of them. In 2019, 78% of marine accidents were shipping accidents, compared to 83% on average over the previous 10 years. TSB personnel then deployed to the sites of some of these occurrences in person to collect data and carry out analysis in order to identify the causes and contributing factors, and highlight known and emerging safety concerns—all in an effort to improve transportation safety in Canada. The TSB appointed an Expert in accordance with the Convention on International Civil Aviation and deployed two investigators to Tehran to visit the accident site and meet with Iranian investigators. NAV CANADA reported taking a number of safety actions. The TSB completed one pipeline investigation in 2019–20, a detailed class 3 investigation that took 513 days. Several supervisor team meetings have taken place to reinforce the application of standard procedures, and interventions have taken place to correct deviations. In particular, if the passenger safety briefing is incomplete, passengers may not know how to escape the aircraft in an emergency. There were no pipeline-related occurrences to which TSB staff deployed in 2019–20, compared to one in 2018–19. At the time of the occurrence, a trainee was operating the track machine (a Unimat tamper) under the supervision of a trainer. View investor contacts. The four crew members were wearing lifejackets and were rescued by another fishing vessel. The TSB is unaware of any safety action having been taken as a result of this occurrence. Pacific Coastal Airlines Ltd. filed internal safety management system hazard reports, as required, and began an internal investigation to develop hazard mitigation. The Chair spoke about the TSB investigation (R13T0192) into the fatal 2013 collision between an Ottawa city bus and a VIA Rail passenger train. Consequently, the Board issued Recommendation A19-01 along with the final investigation report in October 2019. This Rule allows ongoing work activities when a train is passing on the adjacent track. TSB staff deployed to 36 aviation occurrences in 2019–20—two fewer than in 2018–19— began 39 investigations and completed 28. Investigating the possibility of a fleet airworthiness issue: Based on the condition of the failed lift strut documented in the TSB laboratory report, Transport Canada said it was of the view that if the inspections required by FAA’s Airworthiness Directive had been carried out, the failed strut would most likely have been removed from service. Rather, it seeks to find out what happened and why in an objective manner, independent from government, and all other departments and agencies involved in transportation, and free from any conflict of interest. In response, Transport Canada reported that it had completed a preliminary risk assessment and was planning to make a formal safety recommendation to the Federal Aviation Administration. Together, we will spend time in 2020–21 developing a new strategic plan to guide the organization for the next five years. The workshop also welcomed air safety investigators from Denmark, Finland, Iceland, Norway, Sweden and the United States. The association’s efforts have included developing specific safety management system tools and training for members. Based on these assessments, the National Energy Board had lifted all operating pressure restrictions by January 2020. The non-profit foundation is a national forum to connect marine stakeholders to work together to increase the number of Canadians that choose marine careers in the public and private sector. once the control tower has given clearance, the supervisor or team leader clears operators to proceed onto the runway; once the supervisor or team leader has given clearance, the operator reads back the clearance using appropriate phraseology; and. Safety onboard a tug: Another SECURITAS report related to stability on board a tug, with concern for the safety of the vessel and crew. The St-Luc Yard changed its switching operations in 2012 but did not conduct a risk assessment at that time, since the company’s safety management system did not require one. The investigation also determined that there had been no inspection to Railway Association of Canada standards of the car before it was released for travel. SEC filings are those documents that we are required to file because we are listed on The New York Stock Exchange. ANNUAL REPORT 2019 tsb community TRUST VISION To be a champion of positive opportunities and an agent of benefi cial change for Taranaki and its people now and in the future. As in previous years, the majority of the marine fatalities (10 of the 17) were related to commercial fishing (Canadian-flag vessels in Canadian waters). There were 21 active marine recommendations as of March 31, 2020. Integrity: We are guided by honesty, impartiality, propriety and accountability for our actions and decisions. The list is organized by transportation sector and in the order in which the occurrences took place. identified all duties superfluous to core responsibilities and determined how these tasks can be managed without affecting day-to-day operations. As a result, the TSB and other investigative agencies have been advocating for changes to the door design. The Quebec North Shore and Labrador Railway conducted an internal investigation and took the following actions: Crossing accident, Canadian National Railway Company, freight train Q10521-21, Mile 71.13, Yale Subdivision, Chilliwack, British Columbia, 26 May 2018. Among these, 10 were closed as Fully Satisfactory and 2 as Satisfactory in Part. While investigations are ongoing, the TSB issues safety advisories and safety information letters to notify regulatory and industry stakeholders of unsafe conditions. Five recommendations in 2019–20, 3 were limited-scope class 4s these transmitters be revised so that faults... 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