PPRuNe Forums - View Single Post - AS332L2 Ditching off Shetland: 23rd August 2013
Old 23rd Oct 2020, 07:17
  #2569 (permalink)  
Torquetalk
 
Join Date: Jan 2006
Location: EU
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Originally Posted by [email protected]
Wilful neglect would surely lead to criminal proceedings but that isn't the answer here.


The accident has been dissected by both the AAIB and the Sheriff Principal yet no reason can be found for the breakdown in CRM and basic piloting in this case.

Is is a Human Factors issue? Almost certainly but all the usual suspects have been looked at so what is the answer?

The word negligent is hardly subjective as the different dictionary definitions show.

I stand by my original post of negligence (not wilful or intentional) because for whatever reason they failed to do what they were supposed to do despite training, checks and a great deal of experience (especially rom the commander).

Was the commander the issue? Was it a personality clash? Was it too much deference to experience?

If people don't tell the truth then we won't know - pretending they weren't negligent and that there is a mysterious and as yet unknown human factor at work is the decision of the really closed mind.

Clearly they were negligent: The PF neglected to maintain safe flight parameters; the PM neglected to monitor those parameters and intervene. Arguably, they neglected to agree and fly one or more methods of flying the approach which would have have been safer, including flying by hand.

But that doesn’t lead anywhere. It is the analysis of how they made the decisions they did which is of interest. That it was a baldy executed approach is obvious. Attributing responsibility to the crew beyond this simply has no value. They clearly did not set out to crash. What was the context in which this was possible tells us much more and will help prevent more “CRM mouth music” as you rightly said.

Last edited by Torquetalk; 23rd Oct 2020 at 07:37.
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