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Distorted perception of risk’ key factor in 2019 plane crash in Sachigo Lake First Nation, TSB says – CBC

Company says changes implemented following crash made ‘immediate and profound’ impact on safety culture

Aug 05, 2022

The Transportation Safety Board found a work subculture that encouraged taking unnecessary risks at a northern Ontario airline was a key factor in a 2019 crash-landing in Sachigo Lake First Nation.

The Transportation Safety Board (TSB) released its report into the crash Thursday, which found risky decisions the pilot took that day stemmed from a “distorted perception of risk resulting from successful past experience in similar situations” and “the results-oriented subculture of some of North Star Air’s DC3-TP67 pilots.”

In December 2019, the North Star Air Ltd. DC3 plane was flying a cargo flight from Red Lake, Ont., to Sachigo Lake First Nation in northwestern Ontario. Despite the conditions and being trained for instrument-guided flying, the pilot tried to land using what’s known as visual flight rules for clear conditions, when they should have been relying on their instruments.

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