Holes in the swiss cheese that lined up
If 1 or 2 of these issues had been addressed would it have been just another day at the office:
Lack of training.
Regulatory/airline policy
Solder joint fail
Poor error logging and pattern recognition
Pull both RTL CBs against SOP.
Fail to reset overhead ON/OFF as well as pull CB's.
Lack of CRM/cross cockpit communication/call outs.
CAPT "Pull down" verbal response to stall
Startle response
PF lack of situation awareness
ALT LAW vs NORMAL LAW confusion
CAPT side stick override fail
Lack of dual input 'feel'
Dual input warn suppressed by stall
Stall ignored/poor response
Last edited by xcitation; 1st Dec 2015 at 21:13.