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Old 1st Jun 2012, 10:46
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A33Zab
 
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Final Report.

Although not admitted by some, we all know upset was initiated by PF.
Besides the recommondations already published at the publication of IR#3 (AoA indication, FDR, Manual Alt Training) there were valid questions still to be answered:

Press conference, 29 July 2011

Alain Bouillard – .......
To try to understand the pilots' actions I have decided to set up a human factors group that will study the behaviour and the actions of the pilot, containing specialists in ergonomics, cognitive sciences -- psychologists, and doctors specialised in aviation.
We are continuing to examine the pilots' seats to try to understand if the adjustment could have influenced their inputs on the sidesticks.
.......
IMO that could prove if it was (initially) unintended.....


Jean-Paul Troadec - ....
There are two themes which are, which we could describe as doubtless the most systemic.
That is to say that, we think it is necessary to examine the way in which flight safety is organised at Air France and the way in which the monitoring actions of the oversight authority are conducted.
.....
For the first issue AF recently introduced the GATEKEEPER system.

The second part, I expect it is self-audit....which IMO is not 'healty' in aviation by definition.
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