Santas near miss
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Santas near miss
Christmas 2001
The following information was removed from a Cockpit Voice Recorder from an aircraft flying over the North Pole on Dec. 4th 2001.
“Those passengers sitting on the right side of the aircraft may have noticed eight reindeer and a sled with a fat man on it disappear into the number two engine intake. We are pleased to report, all engine parameters are back to normal and we will not be delayed on our arrival into Vancouver.”
A Human Factors investigation, utilizing the “Dirty Dozen,” into this incident revealed the following.
Synopsis
Santa Claus was reported to be carrying out a test flight on his sleigh when he suffered a near miss (He nearly missed) with the #2 engine of a Boeing 777. From information gathered from Mrs. Claus, and witnesses we have determined the following, each of which may have broke the chain of events that enfolded.
Contributing Factors
1) Lack of Communication – Santa was not in communication the ATC responsible for that airspace. Had he been, the collision likely would have been avoided.
2) Complacency – Santa always departed the North Pole in this direction as he had done hundreds of times before. That would have put the sun, low on the horizon directly into his face.
3) Lack of Knowledge – Santa did not know how to conduct the required IFR flight in the controlled airspace.
4) Distraction - Santa was last seen trying to operate his new cell phone. Mrs. Claus was trying to contact him at the time.
5) Lack of Teamwork – Santa is believed to seen the 777 at the last second and pulled the reindeer hard to the right. The reindeer were believed to be trying to go hard left at the time.
6) Fatigue – Due to toy production problems, Santa is known to have been up for at least 36 hours without sleep prior to the test flight.
7) Lack of Resources – There was a chronic shortage of materials for toy making and more elves were needed to complete the work on schedule.
8) Pressure – With only 20 days to go before Christmas Eve, Santa was under enormous pressure to complete all the requested toys on time.
9) Lack of Assertiveness – Santa was in dire need of more help to deliver the toys to the ever-increasing number of boys and girls or more time was required (i.e. Delivery over 2 days) He had not considered either option.
10) Stress – Santa was under enormous stress to complete all the work on time. He was also reported to be very concerned with the gross weight of the sled.
11) Lack of Awareness – Santa was unaware that times had changed over the years and he had failed to change with the times.
12) Norms – Santa was following all the normal procedures as he had done for hundreds of years before.
System Errors
Known facts:
1) Santa Claus lived at the magnetic North Pole which is in Canada and thus he was a Canadian citizen.
2) There is no record of said person ever obtaining a license to fly.
3) There is no record of the flying device utilized by the deceased, ever having been tested for airworthiness or registered.
4) There is no record of a weight and balance ever being carried out on said device.
5) There is no record of Santa ever obtaining the required special permits to land on rooftops.
6) The regulatory body responsible for the flying safety in Canada is Transport Canada
7) From evidence gathered it would appear that the said regulatory body was well aware of the deviations from the air regulations but for political reasons failed to act. (See appendix A - Incident report 1999-199)
8) There is some evidence that presents (bribes) were left at the homes of officials working for Transport Canada therefore constituting a possible conflict of interest.
9) It would appear that regulatory bodies from other countries also chose to ignore the violations that took place in their airspace.
10) They also were given gifts under their Christmas tree although a few in Holland were reported to receive only a lump of coal in their stockings.
Conclusion
In view of the magnitude of the system failure, ICAO may need to review the air regulations of all contracting states with a view to tighten up the regulations as they relate to this tragedy.
Recommendations
Christmas and the spreading of good will should be spread to the remaining 364 days of the year and human factors training for Santa Claus Jr. would also help. System Safety Services would be pleased to assist in the training. May you all have a very Merry Christmas and a safe 2002.
The following information was removed from a Cockpit Voice Recorder from an aircraft flying over the North Pole on Dec. 4th 2001.
“Those passengers sitting on the right side of the aircraft may have noticed eight reindeer and a sled with a fat man on it disappear into the number two engine intake. We are pleased to report, all engine parameters are back to normal and we will not be delayed on our arrival into Vancouver.”
A Human Factors investigation, utilizing the “Dirty Dozen,” into this incident revealed the following.
Synopsis
Santa Claus was reported to be carrying out a test flight on his sleigh when he suffered a near miss (He nearly missed) with the #2 engine of a Boeing 777. From information gathered from Mrs. Claus, and witnesses we have determined the following, each of which may have broke the chain of events that enfolded.
Contributing Factors
1) Lack of Communication – Santa was not in communication the ATC responsible for that airspace. Had he been, the collision likely would have been avoided.
2) Complacency – Santa always departed the North Pole in this direction as he had done hundreds of times before. That would have put the sun, low on the horizon directly into his face.
3) Lack of Knowledge – Santa did not know how to conduct the required IFR flight in the controlled airspace.
4) Distraction - Santa was last seen trying to operate his new cell phone. Mrs. Claus was trying to contact him at the time.
5) Lack of Teamwork – Santa is believed to seen the 777 at the last second and pulled the reindeer hard to the right. The reindeer were believed to be trying to go hard left at the time.
6) Fatigue – Due to toy production problems, Santa is known to have been up for at least 36 hours without sleep prior to the test flight.
7) Lack of Resources – There was a chronic shortage of materials for toy making and more elves were needed to complete the work on schedule.
8) Pressure – With only 20 days to go before Christmas Eve, Santa was under enormous pressure to complete all the requested toys on time.
9) Lack of Assertiveness – Santa was in dire need of more help to deliver the toys to the ever-increasing number of boys and girls or more time was required (i.e. Delivery over 2 days) He had not considered either option.
10) Stress – Santa was under enormous stress to complete all the work on time. He was also reported to be very concerned with the gross weight of the sled.
11) Lack of Awareness – Santa was unaware that times had changed over the years and he had failed to change with the times.
12) Norms – Santa was following all the normal procedures as he had done for hundreds of years before.
System Errors
Known facts:
1) Santa Claus lived at the magnetic North Pole which is in Canada and thus he was a Canadian citizen.
2) There is no record of said person ever obtaining a license to fly.
3) There is no record of the flying device utilized by the deceased, ever having been tested for airworthiness or registered.
4) There is no record of a weight and balance ever being carried out on said device.
5) There is no record of Santa ever obtaining the required special permits to land on rooftops.
6) The regulatory body responsible for the flying safety in Canada is Transport Canada
7) From evidence gathered it would appear that the said regulatory body was well aware of the deviations from the air regulations but for political reasons failed to act. (See appendix A - Incident report 1999-199)
8) There is some evidence that presents (bribes) were left at the homes of officials working for Transport Canada therefore constituting a possible conflict of interest.
9) It would appear that regulatory bodies from other countries also chose to ignore the violations that took place in their airspace.
10) They also were given gifts under their Christmas tree although a few in Holland were reported to receive only a lump of coal in their stockings.
Conclusion
In view of the magnitude of the system failure, ICAO may need to review the air regulations of all contracting states with a view to tighten up the regulations as they relate to this tragedy.
Recommendations
Christmas and the spreading of good will should be spread to the remaining 364 days of the year and human factors training for Santa Claus Jr. would also help. System Safety Services would be pleased to assist in the training. May you all have a very Merry Christmas and a safe 2002.
Join Date: Mar 2001
Location: Dunnunda & Godzone
Age: 74
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Yup it sure is that dang #2 engine again.
Thanks spindoctor, for that piece appropriate to the season.
[quote]
Recommendations
Christmas and the spreading of good will should be spread to the remaining 364 days of the year and human factors training for Santa Claus Jr. would also help<hr></blockquote>
Is wholeheartedly accepted.
We are unfortunately, due the advertising restrictions on PPRuNe, unable to endorse the offer of assistance in human factors training beyond a wholehearted thanks for the contribution. <img src="tongue.gif" border="0">
I'll bet the Santa who was on reserve for Christmas Eve is really tee'd off. <img src="wink.gif" border="0">
Merry Christmas
Thanks spindoctor, for that piece appropriate to the season.
[quote]
Recommendations
Christmas and the spreading of good will should be spread to the remaining 364 days of the year and human factors training for Santa Claus Jr. would also help<hr></blockquote>
Is wholeheartedly accepted.
We are unfortunately, due the advertising restrictions on PPRuNe, unable to endorse the offer of assistance in human factors training beyond a wholehearted thanks for the contribution. <img src="tongue.gif" border="0">
I'll bet the Santa who was on reserve for Christmas Eve is really tee'd off. <img src="wink.gif" border="0">
Merry Christmas
