PPRuNe Forums - View Single Post - Flt. Lt. Sean Cunningham inquest
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Old 7th Feb 2014, 00:21
  #415 (permalink)  
Two's in
Below the Glidepath - not correcting
 
Join Date: Jun 2005
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- it does seem to me to be mainly technical in nature, the ops stuff is concerning, but largely unconnected with the actual incident IMO.
Or answer (b)

The "ops stuff" was indicative of the organisational failings that had happened over a number of years. Tragically, the lightning rod for these failings was the technical failure of the drogue shackle. The "ops stuff" that got the poor soul into this position are manifest throughout the report. There were numerous opportunities to break the chain, but they were all missed. The avoidance of poor seat pin drills, incorrect seat stowage post flight, ineffective engineering oversight and a different flight safety ethos could all have taken fate on a different course that day, but because all those factors existed, the drogue shackle failure proved to be fatal. The "ops stuff' got him to the scene of the accident as fast as any other cause would have done on the day.
Two's in is offline