Originally Posted by
Zeffy
Now that's an example of a well written report that resulted from a well-resourced, appropriately focussed investigation. Even the additional Board Member comments at the end are on point and deserving of applause -- and wide distribution. Everybody in safety sensitive positions in civil aviation should read this report.
And I have to add that this level of investigation used to occur in Canada as well, but (sadly for aviation safety) the Canadian TSB is not the agency it once was. If this incident had occurred at Toronto, Montreal or Vancouver the resultant report by the Canadian TSB would have been a short ineffective report after a shallow investigation.
Grizz