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Old 14th Feb 2015, 01:54
  #13 (permalink)  
Lowkoon
 
Join Date: Apr 2007
Location: HK- A little bit of industrial China in every breath you take.
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Respectfully Monster, these guys shouldn't be the scapegoats for this. They are as much victims as the passengers were. Hear me out on this one, these guys were the last link in an error chain, you know the theory of accidents as well as any of the other professionals in this forum, I am not going to rehash that. Lets look at all the variables associated with the pilot that "slotted the wrong donk." He was, like the rest of us, somewhere between being a complete muppet that should never have been allowed on an aircraft, let alone up the front, and the dux of The Empire Test Pilot School. He fits in between there somewhere. What chain of events led him, unsupported in a multi crew environment to mis identify the wrong engine? unlike Kegworth, any reduction in thrust would have been immediately noticeable, so why did they do it, and why didn't the other guy speak up?

Were they so

Badly trained?
Well trained but not current?
fixated on something else?
used to shutting down engine number one?

Did they have

Inadequate SOPs
Inadequate two crew training
Inadequate asymmetric training
Inadequate instrumentation
Inadequate maintenance support
Inadequate engine maintenance

Did they have a culture of "Dont write it up" - "Just take it back to TPE we will fix it there"?

In other words, how many holes had the company and the regulators eaten in the swiss cheese that these guys had been served up on the day? This investigation needs to go way further than blaming the guy who shut the engine down, they need to ask why the hell he did that.
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