PPRuNe Forums - View Single Post - Boeing Board to Call for Safety Changes After 737 Max Crashes
Old 24th Sep 2019, 04:23
  #48 (permalink)  
HFP
 
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When we focus on 'human error' as the cause of an accident rather than the error being the consequence of a deeper flaw, we fail to look for the conditions which caused the undesired outcomes, and or behaviour. Boeing may well have helped create these conditions. Leave these conditions in place, and the same bad outcomes may happen again no matter how many posters, articles, or pilots we blame with fancy phrases such as loss of situational awareness, lack of proficiency etc. All we are doing is giving 'human error' a nice name, but we are not explaining why this happened, and we are not removing the conditions. A few well trained pilots during WWII regardless of skill, and or experience reported that they sometimes made errors using cockpit controls. The airforce did not blame them, rather they got the manufacturer to design better equipment in accordance with human requirements. Pilot behaviour on the two doomed aircraft is just the symptom of the trouble, not the cause of it. It has been proven time and time again, that skill and experience is not enough, but changing the conditions is, so lets focus on that rather on blaming the pilots with fancy error names.
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