Air transportation safety investigation A23Q0143

TSB has completed this investigation. The report was published on 28 October 2025.

Table of contents

    Near collision with terrain on final instrument approach
    Air Creebec Inc.
    Boeing of Canada Ltd. De Havilland Division DHC-8-106, C-FLSX
    Val-d’Or Airport (CYVO), Quebec

    The occurrence

    At 1525 Eastern Daylight Time on 26 October 2023, the Boeing of Canada Ltd. De Havilland Division DHC-8-106 aircraft (registration C-FLSX, serial number 285) operated by Air Creebec Inc. began an instrument flight rules flight from Chisasibi Airport (CSU2), Quebec, to Val-d’Or Airport (CYVO), Quebec, with 2 flight crew members, 1 cabin crew member, and 28 passengers on board. A few moments after beginning a descent from flight level 200, the flight crew received an instruction to hold at the initial approach waypoint IKDOB because an aircraft was going to land at CYVO before them.

    The occurrence aircraft had been holding at 6000 feet above sea level for 12 minutes when it was cleared to conduct an area navigation approach to Runway 18 at CYVO using the global navigation satellite system. The aircraft exited the hold and ended up on a track that diverged from the approach. The pilot not flying reprogrammed the flight management system to rejoin the approach. A 2nd track divergence occurred at the final approach waypoint and, after terrain awareness and warning system alerts sounded, the flight crew conducted a go-around. The aircraft ended up 405 feet above ground level, 0.98 nautical miles to the right of the final approach path and 1.46 nautical miles from the runway threshold. A 2nd approach was conducted, and the aircraft landed on Runway 18 without further incident.


    Class of investigation

    This is a class 3 investigation. These investigations analyze a small number of safety issues, and may result in recommendations. Class 3 investigations are generally completed within 450 days. For more information, see the Policy on Occurrence Classification.

    TSB investigation process

    There are 3 phases to a TSB investigation

    1. Field phase: a team of investigators examines the occurrence site and wreckage, interviews witnesses and collects pertinent information.
    2. Examination and analysis phase: the TSB reviews pertinent records, tests components of the wreckage in the lab, determines the sequence of events and identifies safety deficiencies. When safety deficiencies are suspected or confirmed, the TSB advises the appropriate authority without waiting until publication of the final report.
    3. Report phase: a confidential draft report is approved by the Board and sent to persons and corporations who are directly concerned by the report. They then have the opportunity to dispute or correct information they believe to be incorrect. The Board considers all representations before approving the final report, which is subsequently released to the public.

    For more information, see our Investigation process page.

    The TSB is an independent agency that investigates air, marine, pipeline, and rail transportation occurrences. Its sole aim is the advancement of transportation safety. It is not the function of the Board to assign fault or determine civil or criminal liability.