AAIB Investigators' Terms of Reference
Does anyone out there know what are the Terms of Reference (TORs) for AAIB Accident Investigators?
For example, once they have investigated the local direct-efffect causes of the accident, are the investigators mandated to consider the organisational influences that may have predisposed those involved towards having the accident. How deep are the investigators allowed/required to go?
An example of 'organisational factors' would be company ethos or commercial cost impacting on crewing levels, rostering policy, lack of fatigue monitoring, poor training system, poor supervision or documentation etc. Whereas, the 'local factors' could be crew mishandling, incorrect procedures, lapses, errors, violations, inappropriate cockpit gradient, distractions etc?
It would be interesting to know the current procedures, as it has taken years for aviation to get commerce (eg airlines) and the govt to accept that such organisational influences are important in major accidents (eg Chernobyl, Piper Alpha, Zeebrugge, Dryden etc). As a result of this, however, has ICAO Annex 13 actually been changed and have individual countries' aviation authorities ammended the TORs for their investigators?
flipster
Last edited by flipster; 3rd March 2009 at 14:06.