Originally Posted by
Avionker
Epsomdog
It certainly is.
I think we can all agree that it should not have been done. I also think we can all agree that it should have been caught prior to the aircraft departing.
There were numerous contributing factors to the incident, and appearing to single out the initial error whilst ignoring everything else in the report is disappointing, especially for someone who has 45 years in the industry as you do.
For me the 2 most interesting points of the report are the Maintenance Supervisor felt that the allocated manpower for the shift was insufficient, and that this was regarded as normal.
The fact the company subsequently employed no fewer than 26 additional staff is very revealing.
I agree, there were numerous oppertunities to spot the original error. You're right, these issues should not be ignored. However the debate seemed to be focusing on these failures, rather than the original mistake. I was attempting to re-focus the discussion on the real problem.
How or why did the guys make the initial mistake?
Lack of training? Lack of manpower? Workload pressure?