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Flt. Lt. Sean Cunningham inquest

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Flt. Lt. Sean Cunningham inquest

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Old 15th Feb 2014, 15:03
  #621 (permalink)  
 
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Many roads will lead to the AES IPT. It would be up to them to fend off criticism and deflect blame.


But for starters, if you want to chase documentary failures, the RTI is a place to start.


A UTI/RTI/STI will have a standard format and will incriminate the author.


We already know (I think) that it said "refit shackle" or similar, and that will be derived from the author referring to the seat AP. If neither say "replace" stiff nut with new item - you have a starting point.


Later in the document it will have a few formatted details


Manhours :- XXXX
Spares Required:- ....if it says "NIL" then this compounds the first mistake.


In fact, it more than compounds the first mistake. It means that the author can't blame the tradesman for not following best practise.


(Chug, our posts crossed)
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Old 15th Feb 2014, 15:23
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My point is that requirement should have been flagged up if there had been a Safety Case. There wasn't.
Some nail vs head action.

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Old 15th Feb 2014, 15:33
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SPHLC, I should have thought that many more roads lead to the UK Military Airworthiness Authority. It is a typical of the many systemic failures that litter the UK Military Aviation scene that it never flagged up the absence of a Safety Case for a system, and a critical Escape System at that, that had been in service since the 70s.


The fact that authority is now vested in the recently formed Military Aviation Authority, as against its parent MOD in which it was vested previously, is immaterial. It failed to ensure the airworthiness of this system, hence the airworthiness of this aircraft, which was a major contributor to this accident. Yet its DG congratulates the panel for an SI that failed to mention that. Something is rotten here in the State of Denmark, and it's not rotting Giraffe!
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Old 15th Feb 2014, 16:00
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It is interesting that when working on the periphery of the AES IPT previously, their TL took the Safety Manager as saving, and after a significant gap was advised to bring in a contractor..........so I heard

In the 'Teams' defence they were savaged by cuts and federated out to other PTs, the transition from the S&AD IPT to the AES PT ensured it lost the strength when dealing with FLCs, platforms and industry. The PT became very dysfunctional in the way it did business. Many of the guys who were left worked tirelessly to ensure an output, some most definitely did not!! And this was further undermined by some of the worst leadership I have ever encountered in 24 years in the military!
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Old 15th Feb 2014, 16:04
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I understand that the current leadership of the AES PT is being (unexpectedly) parachuted into the Airseeker PT.
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Old 15th Feb 2014, 17:25
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JTO,

If this is the case then they are truly F$%^'ed!!

I can only assume that this is not a performance related posting, but more of a location choice! However, if it is second tier management (C1), then they will get a good guy! If it's the B2 then.................
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Old 15th Feb 2014, 17:27
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Could I just throw a couple of points in the pot.


If the seat Safety Case was invalid, or even non-existent, then the Whole Aircraft Safety Case, for a number of user platforms, is compromised. On Hawk, that implicates the Aircraft PT, the Release to Service Authority and Aircraft Design Authority.


I am not entirely convinced a RTI (Routine Technical Instruction) was suitable here. It may only be used if "Design Organisation (i.e. Martin Baker and BAeS) input is NOT required".

Does anyone think MB or BAeS should not be involved in any way whatsoever when there is a perceived need to (a) crack detect and (b) disturb a safety critical system, including replacing a component whose correct fitment is critical to correct operation, and is known to be so?
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Old 15th Feb 2014, 19:39
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Could be the last - Words fail me. Thanks for corroborating the fact about the Safety Manger. I am with you all the way regarding the worst leadership. Certainly went right down hill when the Gp Capt left.
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Old 16th Feb 2014, 10:18
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Thank you tuc as ever for the knowledge and expertise that sadly seems so lacking within the UK Military Airworthiness Authority itself these days. So, having identified one more tree in one more wood as infected with the unairworthiness virus, we must now turn to its neighbouring trees and find them infected also. Not only trees within this wood either, but in neighbouring woods, and no doubt in other woods too, as we trace this deadly canker throughout the whole forest of UK Military Aviation.


Words cannot fail us, dragartist, on the contrary we must speak out and testify to other shortcomings and actions that have suborned mandated process instead of implementing it. The MOD has always pigeon holed these tragedies as one offs, with one off remedies, be it to incorporate new systems such as ESF or to ground whole fleets such as the Nimrod Mk2. What they never do is to admit to widespread systemic failure of UK Military Airworthiness Provision, the extent and cause of which evaded the Haddon-Cave Report.


In short we have to do what Haddon-Cave failed to do and show that extent of failure and its historic causes. The latter have been well documented and discussed within this forum, they only need admitting to by the RAF High Command, for it is within that body that they can be mainly found. The former is where we go next, following tuc's post, and that would appear initially to be the AES IPT, the Hawk PT, the RTSA, and the Design Authority.


As to the RAFCAM HF experts, might I suggest they start looking at the actions of certain VSO's as from 1987 wrt financial shortfalls following disastrous policy changes, and the agreed remedial action to correct that by making 28% year on year cuts to Air Safety provision? Their knowledge of Groupthink would be invaluable in analysing blatantly illegal orders, deliberate obfuscation and deceit, the unjust laying of blame on juniors, even upon deceased JOs, and the ensuing denial and cover up by their successors to this day. Their testimony could then be handed to the RAF Provost Marshal, who might just be minded to view it as new evidence. You never know your luck!
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Old 16th Feb 2014, 10:43
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The followning accidents all stem from cost cutting in the 1990s;

(a) Chinook
(b) Hercules
(c) Nimrod
(d) Tornado/Patriot
(e) Hawk
(f) Tornado CWS.

This, according to H-C was the "golden age". Did he realy believe what he wrote, or was he encouraged to protect the guilty.

DV
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Old 16th Feb 2014, 19:35
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(f) Tornado CWS.

strange, didn't think that report had been published yet...
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Old 16th Feb 2014, 19:44
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DV - I would add the Tornado F3 crash at Glen Kinglas to that list
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Old 16th Feb 2014, 19:51
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Fox3, how very right you are.
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Old 17th Feb 2014, 04:28
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and from Australia

Seaking Shark02 probably fits this (unfortunate) category too
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Old 17th Feb 2014, 17:31
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F3WMB:-
I would add the Tornado F3 crash at Glen Kinglas to that list
Absolutely agree Fox3. Experience and currency commensurate with aircraft configuration and sortie type is as essential a component of airworthiness as any hardware.


https://www.gov.uk/government/public...nado-f3-ze-982
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Old 17th Feb 2014, 21:26
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I agree that the Glen Kinglas accident should be added to the list. It is a classic 1990s screw-up in more ways than one.

DV
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Old 18th Feb 2014, 10:06
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Fox 3: Was there an Inquest, or Fatal Accident Inquiry for this accident?

DV
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Old 18th Feb 2014, 10:22
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Chugalug posted the Accident Inquiry three posts ago. It says it all.
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Old 18th Feb 2014, 12:14
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The fact that they were low flying in that terrain in L Fit with fuel in the tanks shows a grave lack of awareness throughout thesupervisory chain. Whenever an F3 squadron fitted L Fit there should have been clear instructions on what could, and COULD NOT, be done with the aircraft. It was possible to do a lot with the ac in that configuration but it did not provide “Carefree Handling”, particularly at heavy weights.

The OEU operated in L Fit quite often due to Flight Trials being undertaken. When conducting tactical sorties in L Fit we would not consider any tactical or aggressive manoeuvring until the tanks were dry. Although one would not wish to over regulate, (write yet another ASO Beano) it is imperative that Sqn Auths and Supervisors do their job properly. It is all too easy to become “Comfortable” and thus complacent.

Deliverance, I would just like to add that it is only worth being a wingman if you have good leaders. If the dilution rate is too high the RAF has a problem. Certainly, some of those Execs should be in the air leading and not pushing paperwork.

Last edited by Dominator2; 18th Feb 2014 at 12:36.
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Old 18th Feb 2014, 12:25
  #640 (permalink)  
 
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Chugalug posted the Accident Inquiry three posts ago. It says it all.
Sorry, Fox3, you misunderstand. What is posted is the SI report, produced by MoD. The Fatal Accident Inquiry (FAI) is the Scottish equivalent of an Inquest.

DV
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