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CONTENTS
Air Safety Through Investigation
Journal of the International Society of Air Safety Investigators
FEATURES Volume 54, Number 4
Publisher Frank Del Gandio
4 ISASI 2021: A Virtual Seminar Editorial Advisor Richard B. Stone
By J. Gary DiNunno, Editor, ISASI Forum—The author provides an overview of the ISASI
51st annual international accident investigation and prevention conference virtually hosted Editor J. Gary DiNunno
from Vancouver, B.C., Canada, on August 31–September 2. Design Editor Jesica Ferry
Associate Editor Susan Fager
8 ISASI 2021 Keynote Speech: Navigating
the Safety Investigation Hurricane ISASI Forum (ISSN 1088-8128) is published quar-
terly by the International Society of Air Safety
By Kathy Fox, Chair, Transportation Safety Board of Canada—The author discusses the Investigators. Opinions expressed by authors do
role of transport safety investigators in a world that can pit searching for safety against not necessarily represent official ISASI position
seeking justice or blame. or policy.
12 ISASI Recognizes H. Keith Hagy with 2021 Jerome Lederer Award Editorial Offices: Park Center, 107 East Holly Ave-
By J. Gary DiNunno, Editor, ISASI Forum—ISASI’s Executive Officers presented the Society’s nue, Suite 11, Sterling, VA 20164-5405. Telephone
highest recognition for contributions to enhance air safety to Keith Hagy, director of U.S. 703-430-9668. Fax 703-430-4970. E-mail address,
ALPA’s Engineering & Air Safety Department immediately following ISASI 2021. isasi@erols.com; for editor, jgdassociates@
starpower.net. Internet website: www.isasi.org.
14 The Challenges for Air Safety Investigators: ISASI Forum is not responsible for unsolicited
Taking Care of Mental Health and Well-Being manuscripts, photographs, or other materials.
By Ao Sun, 2021 Kapustin Scholarship Recipient, Cranfield University, UK—The author Unsolicited materials will be returned only if
examines how air accident investigators play an irreplaceable role in the aftermath of an submitted with a self-addressed, stamped enve-
air crash, not only by gathering critical information related to the accident but also by lope. ISASI Forum reserves the right to reject,
dealing with the gruesome scenes and unbearable smells of the crash site. delete, summarize, or edit for space con-
siderations any submitted article. To facilitate
18 Loss of Control in Flight Event Due to editorial production processes, American Eng-
lish spelling of words is used.
Suspected Icing: Tailplane or Main Wing Stall?
By Kåre Halvorsen, Senior Accident Investigator, Norwegian Safety Investigation Author- Copyright © 2021—International Society of Air
ity; Michael Bromfield, Deputy Aerospace Program Director, University of Birmingham, Safety Investigators, all rights reserved. Publica-
UK; Nadjim Horri, Assistant Professor in Aerospace, Coventry University, UK; and Knut tion in any form is prohibited without permis-
Lande, Consultant, LandAvia Ltd, Norway—The authors provide a review of a 2017 Cessna sion. ISASI Forum registered U.S. Patent and
business jet loss of control incident that was likely from tailplane stall due to icing condi- T.M. Office. Opinions expressed by authors do
tions experienced shortly after takeoff. not necessarily represent official ISASI position
or policy. Permission to reprint is available upon
24 Future Investigations and Paperless Flight Deck application to the editorial offices.
By Capt. Daniel Cadieux, Flight Safety Division, Air Canada Pilots Association, in Publisher’s Editorial Profile: ISASI Forum is print-
collaboration with Capt. Rob Lawson (Ret.) and Capt. Ewan Tasker, Transportation ed in the United States and published for profes-
Safety Board of Canada—The authors suggest that pilots and safety investigators have to sional air safety investigators who are members
readjust to a paperless cockpit environment, but this readjustment is not a smooth one. of the International Society of Air Safety Inves-
We have no choice but to think differently and change the way we do things if we want to tigators. Editorial content emphasizes accident
succeed.
investigation findings, investigative techniques
DEPARTMENTS and experiences, regulatory issues, industry ac-
cident prevention developments, and ISASI and
2 Contents member involvement and information.
3 President’s View Subscriptions: A subscription to members is pro-
28 News Roundup vided as a portion of dues. Rate for nonmem-
30 ISASI Information bers (domestic and Canada) is US$28; Rate for
32 Who's Who: Far East University, Korea nonmember international is US$30. Rate for all
libraries and schools is US$24. For subscription
ABOUT THE COVER information, call 703-430-9668. Additional or
replacement ISASI Forum issues: Domestic and
ISASI President Frank Del Gandio presents the Society’s highest recognition Canada US$4; international member US$4; do-
mestic and Canada nonmember US$6; interna-
for contributions to enhance air safety through investigation to Keith Hagy, tional nonmember US$8.
director U.S. ALPA’s Engineering & Air Safety Department immediately follow-
ing ISASI 2021.
INCORPORATED AUGUST 31, 1964
2 • October-December 2021 ISASI Forum