State of Safety Culture
Thread Starter
State of Safety Culture
I think it is a damning indictment on the state of our safety culture in this country that a thread about an aircraft (carrying passengers) that appears to have run out of fuel and made a forced landing on a highway, is locked from further discussion. Further, I think the fact that our, so-called, regulator hasn't made a comment about it, further paints the picture of the safety reporting in our industry.
What does a fresh CPL make of this sort of behaviour - do they "cover up" a mistake - "Hey, airlines do it, CASA appears to do it, the ATSB takes so long to talk about it that it doesn't matter any more - I won't mention it." With that sort of attitude, it won't be long until someone keeps "hiding" things until they run out of fuel!
Mistakes happen - sometimes big mistakes - it takes leadership and professionalism from ALL involved (pilot, company, regulator) to step up and say - "This happened, we are looking into all the reasons this happened and will strive to ensure it doesn't happen again."
Man the F%CK up...
PS - I am aware that the individual pilot in this case has probably been directed to keep his mouth shut - I'm talking more generally about people speaking up about their errors...
What does a fresh CPL make of this sort of behaviour - do they "cover up" a mistake - "Hey, airlines do it, CASA appears to do it, the ATSB takes so long to talk about it that it doesn't matter any more - I won't mention it." With that sort of attitude, it won't be long until someone keeps "hiding" things until they run out of fuel!
Mistakes happen - sometimes big mistakes - it takes leadership and professionalism from ALL involved (pilot, company, regulator) to step up and say - "This happened, we are looking into all the reasons this happened and will strive to ensure it doesn't happen again."
Man the F%CK up...
PS - I am aware that the individual pilot in this case has probably been directed to keep his mouth shut - I'm talking more generally about people speaking up about their errors...
Last edited by josephfeatherweight; 29th Mar 2018 at 22:05. Reason: Further explanation...
It is a pity the event is clouded in such secrecy, there is talk on the streets that it was the result of fire warnings on both engines, not improbable, but who knows. Might explain both engines being feathered. I say not improbable because on one four engine type in the past feathering an engine could result in all four feathering.
I say not improbable because on one four engine type in the past feathering an engine could result in all four feathering.
Joseph,
I am afraid the "Crime and Punishment" approach that underpins everything aviation in Australia just promotes hiding things. Why would it be otherwise??
The so called CASA "Just Culture" really means the "Just" culture, "Just get the bastard".
The way the system works, in practice, is to only encourage non-reporting, a system that is not really interested in what produces the best air safety outcomes, only "compliance and enforcement", said "compliance and enforcement" based on a highly variable interpretation, by multiple individuals, of our internationally acknowledged complex, convoluted and contradictory regulation --- which are world leading by weight of word or page count, but otherwise a complete failure at achieving the best possible air safety outcomes.
The amazing thing is the resilience of what has become know as the "iron ring".
There have been more Royal Commissions, Parliamentary inquiries, and other forms of investigation, into the formation of and administration of air law in Australia, than any other Commonwealth department or instrumentality, all to no avail. Including the longest inquiry since Federation, Morris.
Those of us who have been around a while know the commercial damage that has been done, as "aviation" has languished compared with other Australian industry, or the aviation sectors of comparable countries.
In an economy that has had unprecedented growth since the Hawke/Keating era, aviation has significantly contracted, because it simply cannot cope, let alone prosper, under such a regressive and punitive set of administrative (not really "safety" at all) laws.
Quite apart from the more obvious, former export industries have been destroyed in the MRO sector, those that survive, only survive because they have EASA/FAA/ other OS approvals, rendering CASA irrelevant.
No industry could cope and prosper under the regime of ultra micro-management that is visited on the aviation community by such a both aggressive and regressive "public service" bureaucracy.
And, it not as if you can say: "Well, at least we have the world's safety aviation", because we simply do not.
As a result, it is quite predictable, in theory and practice, that the Australian approach cannot produce the best air safety outcomes.
We fall far short of the US in all recognized categories of air safety outcomes, but CASA, the politicians, the bureaucracy, and sadly too much of the aviation community, is willfully blind to the real situation.
Tootle pip!!
I am afraid the "Crime and Punishment" approach that underpins everything aviation in Australia just promotes hiding things. Why would it be otherwise??
The so called CASA "Just Culture" really means the "Just" culture, "Just get the bastard".
The way the system works, in practice, is to only encourage non-reporting, a system that is not really interested in what produces the best air safety outcomes, only "compliance and enforcement", said "compliance and enforcement" based on a highly variable interpretation, by multiple individuals, of our internationally acknowledged complex, convoluted and contradictory regulation --- which are world leading by weight of word or page count, but otherwise a complete failure at achieving the best possible air safety outcomes.
The amazing thing is the resilience of what has become know as the "iron ring".
There have been more Royal Commissions, Parliamentary inquiries, and other forms of investigation, into the formation of and administration of air law in Australia, than any other Commonwealth department or instrumentality, all to no avail. Including the longest inquiry since Federation, Morris.
Those of us who have been around a while know the commercial damage that has been done, as "aviation" has languished compared with other Australian industry, or the aviation sectors of comparable countries.
In an economy that has had unprecedented growth since the Hawke/Keating era, aviation has significantly contracted, because it simply cannot cope, let alone prosper, under such a regressive and punitive set of administrative (not really "safety" at all) laws.
Quite apart from the more obvious, former export industries have been destroyed in the MRO sector, those that survive, only survive because they have EASA/FAA/ other OS approvals, rendering CASA irrelevant.
No industry could cope and prosper under the regime of ultra micro-management that is visited on the aviation community by such a both aggressive and regressive "public service" bureaucracy.
And, it not as if you can say: "Well, at least we have the world's safety aviation", because we simply do not.
As a result, it is quite predictable, in theory and practice, that the Australian approach cannot produce the best air safety outcomes.
We fall far short of the US in all recognized categories of air safety outcomes, but CASA, the politicians, the bureaucracy, and sadly too much of the aviation community, is willfully blind to the real situation.
Tootle pip!!
It is a pity the event is clouded in such secrecy, there is talk on the streets that it was the result of fire warnings on both engines, not improbable, but who knows. Might explain both engines being feathered. I say not improbable because on one four engine type in the past feathering an engine could result in all four feathering.
Wondering if you know, because I don't, does the Conquest use photo-electric detectors?
Early king airs did, you'd apparently get a fire warning because of light getting in on them, but just keep the turn going and see if they go out before doing anything like shutting an engine down. Fortunately for me I never had that happen as mine didn't have photo-electric detectors.
But back to the main topic- yes I agree that there is a reluctance by many to report. Not necessarily just to CASA/AvMed/ATSB but also to an employer. Part of it can stem from ones early days in GA where the boss would say "if you write on the MR I will sack you."
Changing the overall attitude would be very difficult to achieve.
On face value it would appear This outfit were not keen to have their incident widely publicised either.
does the Conquest use photo-electric detectors
CASA, the politicians, the bureaucracy, and sadly too much of the aviation community, is willfully blind to the real situation
Then we have Norfolk, less said the better.
No pilot is allowed to get in the way of revenue
Last edited by megan; 30th Mar 2018 at 04:49.
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Same engine different type
Had a situation a very long time ago with the same engines. Driving rain, go around from minima both engines indicated fire. So dug into my pockets for a coin to toss, remembered I was in GA and therefore no lose change. Carried on to alternate. Fire indications came and went at the same time, lasted maybe 15 seconds. And no I didn't bury them into the red, just a nice gentle power application to go-around power.
On face value it would appear This outfit were not keen to have their incident widely publicised either.
I’ve asked the rhetorical question in other threads: What pilot or operator in his, her or its right mind would volunteer information about an incident to ATSB or CASA, given their behaviour?
In that event there’d be defects entered in the maintenance records for the aircraft, then clearing endorsements by qualified engineers, and the whole fascinating story could be told now. Just a weird quirk of flying machinery that resulted in a prudent decision by the crew, under pressure, to make a forced landing that resulted in zero injuries or damage, with expert engineers confirming no defects soon afterwards, followed by a safe and happy flight for all concerned to the original destination.
[T]here is talk on the streets that it was the result of fire warnings on both engines, not improbable, but who knows. Might explain both engines being feathered. I say not improbable because on one four engine type in the past feathering an engine could result in all four feathering.
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Moderators,
Why was that thread locked? Thousands of other similar threads are allowed to go on forever, but that one had to be locked.
Are you forgetting what the "R" in PPRUNE stands for?
Why was that thread locked? Thousands of other similar threads are allowed to go on forever, but that one had to be locked.
Are you forgetting what the "R" in PPRUNE stands for?
Well, here's a 'd h' question from a person who knows bugger-all about 'hot air balloons'....."
Post #7 link....
"The balloon had 24 passengers in the basket when it crashed."
Wot's the max number of bodies for a 'hot air balloon'...?
How is this number 'calculated'... ? Are the punters weighed?
Is it a function of weight vs size (volumetric capacity of Balloon)?
Most 'reasonable' assumption....
Is it a function of 'How big is the basket'?
Shades of our infamous C-209......
Is it a function of how many 'bods' turn up for the gig..?
Sounds like some previous operators I have known....who have been known to fly the aforementioned '209'.......
Curious is all......
Cheers
Thread drift Oi know....but.....I wanna know.....
Post #7 link....
"The balloon had 24 passengers in the basket when it crashed."
Wot's the max number of bodies for a 'hot air balloon'...?
How is this number 'calculated'... ? Are the punters weighed?
Is it a function of weight vs size (volumetric capacity of Balloon)?
Most 'reasonable' assumption....
Is it a function of 'How big is the basket'?
Shades of our infamous C-209......
Is it a function of how many 'bods' turn up for the gig..?
Sounds like some previous operators I have known....who have been known to fly the aforementioned '209'.......
Curious is all......
Cheers
Thread drift Oi know....but.....I wanna know.....
Moderator
The thread ran it's race and had degenerated into a circuitous round of re-quotes and meaningless and inflammatory comments.
Go back and read the posts for page 7 and 8, including numerous quotes and conjecture.
The relevant point is the known facts dried up several pages before the thread was closed and all beyond that point added nothing to the thread.
Rumour:
noun
a currently circulating story or report of uncertain or doubtful truth.
verb
be circulated as an unverified account.
Rumours generally have their origin in reasonable, logical but unconfirmed facts, generally of a second hand nature. Many of the posts on the last two pages fail that test. Indeed, posts 146 and 156 confirms my opinion.
When new facts and evidence becomes available, feel free to commence a new thread.
Go back and read the posts for page 7 and 8, including numerous quotes and conjecture.
The relevant point is the known facts dried up several pages before the thread was closed and all beyond that point added nothing to the thread.
Are you forgetting what the "R" in PPRuNe stands for?
noun
a currently circulating story or report of uncertain or doubtful truth.
verb
be circulated as an unverified account.
Rumours generally have their origin in reasonable, logical but unconfirmed facts, generally of a second hand nature. Many of the posts on the last two pages fail that test. Indeed, posts 146 and 156 confirms my opinion.
When new facts and evidence becomes available, feel free to commence a new thread.
And still no details of what really happened?
An ATSB spokesman said "during descent into Broome airport, the right then left engines began to surge. The pilot shut down the right engine and made a mayday call. Shortly after, the left engine failed and the pilot conducted a forced landing on the Great Northern Highway,”.
Very interesting that a false fire warning indication gives engine surges - that's hardly a quick maintenance fix!
Very interesting that a false fire warning indication gives engine surges - that's hardly a quick maintenance fix!
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Fuel exhaustion
The Conquest ran out of fuel.
I have an acquaintance in Perth that is well connected to Skippers Engineering.
The pilot is no longer employed at Skippers.
I have an acquaintance in Perth that is well connected to Skippers Engineering.
The pilot is no longer employed at Skippers.
I'm pretty sure I checked the ATSB site today and they are still gathering information on this, can you please fwd your acquaintance details on to ATSB so they can learn how to be efficient and learn where to get information.
Thread Starter
The Conquest ran out of fuel.