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Old 17th Sep 2014, 08:24
  #2238 (permalink)  
Sarcs
 
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Pel-Air cover-up saga - 'FRMS & polishing turds'

Top post that man and a good question to boot...
Greedy - The interesting question is who and how it is decided whether tick and flick or "The Barrier" is the CAsA response. Clipboards , pencils and check boxes continue to cover a few inconsistencies at the said group of companies. Board Investigations can always be relied on of course......
Perhaps the truth (&) lies are buried in this extremely defensive rant from the now retired DAS which was brought on by Senator Fawcett's comments - on buckets & wascily weports...


Greedy cont/-
I suppose the truth is that this behavior has always gone on but the hypocrisy by the wegulator and its wabbits galls....
The hypocrisy & the behaviour is indeed more than adequately highlighted in the above vid.

At one point the former DAS resorts to attacking the integrity of his former Manager of Human Factors (03:05) and then proceeds to steer around the real damning parts of the Cook FRMS SAR, with bluff & bluster on how things are oh so much better since he took over etc..etc.

However I diverge and for now let's go back to the two (obviously) tic infected Wodgers...

First we have Wodger one (W1), who tick & flicked his way through the 2008 Pel-Air audit; W1 summary - "All good nothing to see here!" Then unfortunately for W1 DJ through blood shot eyes managed to successfully ditch VH-NGA and had the audacity to survive...

Enter W2 who was tasked with overseeing the next 'Special Audit' of Pel-Air in the aftermath of the ditching. Part of the audit team included HF experts BC & MC who were primarily tasked with auditing the Pel-Air FRMS. Unfortunately for W2 BC was not given to the normal (SOP) perfunctory tick & flick exercise and responsibly took to his task with a complete top to bottom approach: {Ref page 3 FRMS SAR}
The CASA Human Factors Section was asked to conduct a special audit of the PelAir Express Fatigue Risk Management System (FRMS). This audit was completed by (blank) and (blank) over the period 2-21 December 2009. Given the nature of the special audit (initiated due to a recent accident of the operator involving a night ditching), and the high exposure to operational fatigue risks due to adhoc, back of the clock medivac operations, the special audit of the Pel Air Express FRMS was extensive and to a level of detail considered appropriate given the risks.


In the final FRMS SAR BC included a very damning review of previous CAsA oversight attempts of the Pel-Air FRMSRef page 5 & 6 FRMS SAR}
2.2 Review of Previous CASA Audits of Pel Air FRMS
A summary of previous CASA audits of Pel Air FRMS is contained within Appendix A. Key Findings from previous CASA oversight:
o To date only one audit observation (no: 712500 dated 3Dec07) has been found to be fully completed, signed and filed within the CASA system. All other surveillance documentation from previous CASA audits of the Pet Air FRMS are electronic copies (some partially complete) as obtained from individual FOI's or from the Rex Safety Management Group.
o Based -on findings within Pel Air for this audit and the key points raised (observations, RCA's) from previous CASA audits, the existing system continues to display all of the problems previously identified through CASA oversight. It is suggested previous audits did not provide the quality assurance to confirm problems identified had been rectified, as the one signed observation available was signed off on the premise that corrective actions had been agreed but there is no evidence this was ever followed up by CASA.
o There is no evidence that RCA's raised in May 2006 were closed as the sections titled remedial action, root causes and corrective action remain blank. There is no verification or signature by a CASA representative.
o In the absence of further formal CASA reports, it appears many agreed items were not followed up by CASA.
It is considered that the oversight by CASA has been inadequate as there is evidence to support that many of the problems identified by CASA during surveillance (Nov 04-Mar 08) were never appropriately actioned.

There is a lack of any clear evidence to support corrective actions had been implemented and confirmed by CASA that they were effective. If this process is indicative of broader practices of CASA it is considered CASA is exposed to unnecessary risk, particularly if required to provide evidence to support how it approved an operator's system, in this case, their FRMS.
And from page 12 of FRMS SAR
Findings for CASA:
• Previous CASA oversight did not provide sufficient evidence to confirm the Pet Air FRMS had ever been managing fatigue risk to a necessary standard. Much of the correspondence and closure of RCA's was based on planned actions but no evidence was collected to confirm appropriate corrective actions had been completed.
• Only one signed and filed previous CASA audit report could be located with the Bankstown Field Office. All other reports were partially completed electronic copies or those provided by Rex Safety Management Group. It is assumed this documentation is on file somewhere but it could not be found over the period 3-21 December 2009. Hence, it is not known what follow up action was taken by CASA for many audit reports and observations.
Hmm...is it any wonder that W2 and the powers to be attempted to cover up (shelfware) the BC FRMS SAR...

It is also of interest to read the Cook RCA recommendations to the YSBK field office at page eleven. Which W2 interpreted, wrote and countersigned RCAs (all apparently on behalf of BC) applicable to BC's recommendations on pages 79 to 87 of the December 2009 Pel-Air SAR(see here)....

Also fascinating is that W2 was able to acquit all the 'on behalf of' RCAs in one single day i.e. 08 January 2010...

So again W2 comes up with the very same conclusions as W1 i.e. W2 summary - "All good nothing to see here!"

Kharon - The only question remaining, to vex the SP bookie, is that of party politics versus personal integrity.
Given the good Senator Fawcett's no back down approach on other aviation matters since the Coalition formed government I don't think he will fold on this issue either, example:


MTF...


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