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Old 8th September 2009 | 17:01
  #8 (permalink)  
Miles Gustaph
 
Joined: Jun 2008
Posts: 261
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From: Behind a dusty desk, and in some really hot, dusty, wet and cold places subject to who is paying the bill. But mostly Gods own land.
Tee Emm you said it buddy "caused by a combination of thrust still applied, spoiler actuation on impact and hard back stick" the use of the noun "combination" denoting multiple events causing one accident/incident supports my assertion that "it is almost impossible for a single action to cause an accident"... and what Pilot do you blame? The left hand Pilot or the Right hand Pilot, or was the Flight Engineer in on it? If the situation that you propose above happened then you already have a pile of failed blocks, not least of which is inter-pilot communication.

"So how the hell can the regulator, airline management, ATC who asked him to keep up speed on final approach, the rostering staff and Uncle Tom Cobbly and All, be blamed for a error of judgment by the pilot. The verdict must be pilot error."
...before you guys get a full blown snott-on about the reason model you need to get three things very clear...
1. aviation is a team game: every one who participates has an input, that input can have an effect in a causal chain. Reason model "blocks" (The bits of cheese)
2. The blame culture, such as your suggested situation where we "must" blame the Pilot is pointless and promotes a closed culture rather than an open culture (blocks fail because of people living in fear of their jobs, litigation etc) &
3. Pilots and Engineers are not emanations of the Creator of the Universe, they are unfortunately in the majority of accidents/incidents the end user, meaning that all the blocks (cheeses) and their own training/skill/prep/briefing etc... has failed, so since they do not have Creator of the Universe status and we cant assume it was an act of divine judgment we must treat them as mortals...shock horror... and support them and look into the ...big word here..."root cause" of the accident/incident to find out what else failed that meant they were in the hot seat.

So if you do take the Reason model into account, rather than the hang the Pilot/engineer/ATC etc argument then I stand by my statement
"it is almost impossible for a single action to cause an accident, normally a single point accident is an act of negligence or sabotage."

TEE EMM, or should it be Hang Emm, If you genuinely believe what you have written then get yourself onto another Human Factors/CRM course ASAP, or go and work in the Middle East and see how well the culture you advocate works!
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