Wasp Stung By Lack of Lubrication
This Wasp crashed out of control. The military Maintenance Schedule assumed 200FH pa and an MGB overhaul ever 600FH. This MGB was fitted for 429 hours over 20 years.
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Dispatcher Forced to Run After Distracted Pushback
A dispatcher was forced to run when an aircraft started to taxi while he was still connected to it after the crew became distracted, skipped procedural steps and misidentified the dispatcher.
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RCAF Production Pressures Compromised Culture
The investigation into a training accident identified a unit culture that instructor proficiency was not a high priority but student output was, and consequently flight commanders and schedulers acted within that culture.
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Human Factors of Dash 8 Panel Loss
We look at the operational and maintenance HF aspects of the loss of a panel from a Dash 8 and how the response to a previous incident had failed.
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RJ85 Landed Alongside Runway Obscured by Dust
We look at the human factors that influenced a landing parallel to an unsealed runway on a FIFO charter to an Australian gold mine on 20 Jan 2017.
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A320 Collided with Two De-Icing Trucks
Misinterpretation of communication due to a lack of standardised phraseology was a factor in this incident say the BFU, when an A320 attempted to return to stand after a checklist error.
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Enron and the Hubris of the “World’s Leading Energy Company”
We look back on Enron and how their Code of Ethics was shelfware in a company described as having a ‘culture of arrogance’.
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Easyjet A319 Heavy Landing
The NLG shock-absorber cylinder was found buckled after a heavy landing when distractions and high workload likely contributed to a nose-down pitch input just before touchdown.
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Overworked Yuletide Loading Error
A loading incident during a busy-pre Christmas period highlights the effect of high workload on data input errors, as well as the importance of system feedback of incorrectly entered data.
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A Railroad’s Cult of Compliance
We look at lessons in a NTSB rail accident report on how a cult of compliance and routine over-emphasis on judging front line workers can lead to disaster, lessons relevant to all industries.
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