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Old 22nd Jun 2004, 07:50
  #307 (permalink)  
Shake
 
Join Date: Jun 2004
Location: ME
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Good post Rev.

To focus mainly on the pilots is to turn back the clock and ignore the evidence of countless other accident and incident investigations where other factors, coincident or otherwise, played their part.

Human factors was once the department which would initiate an indepth investigate by professionally qualified personnel that would address the problems in training if necessary as well as looking deeper into the effects of commercial pressures, company culture and other mitigating factors which have played their part in an incidence.

My point earlier in this thread about the difference in human factors and CRM is that the former has been overtaken by the latter; where anyone with an interest, who has read as little as HPL and The Naked Pilot, volunteers to be a company CRM expert and in the process we have lost the ability to investigate fully such circumstances and recommend any changes necessary to avoid it happening again.

Sacking the pilots does not deal with the problem and serves only to reinforce the message that we work within a 'blame culture' and whilst to 'err is human...don't get caught'.

These were good professional pilots with many hours and years in the job. Others have also been sacked or demoted having never been given the opportunity to see the 'official' report or been given the chance to defend themselves.

We could learn valuable lessons from this incident or bury it in the sand. If we bury it, which seems likely, the unfortunate truth is that will be revisting this forum with other incidents in the future.
Shake is offline