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ATSB writer gilds the lily
From the latest ATSB Aviation Short Investigations Bulletin about a Metro in-flight engine shut down.
Following the aircraft yaw, the flight crew actively employed their crew resource management procedures to identify and confirm the engine fault and then shut down the right engine. The use of these procedures reduced the risk of an incorrect diagnosis of the fault or activation of the incorrect engine controls during shut down. ............................................................ ..................................... Comment. Come off the grass ATSB. What a lot of superfluous padding. They simply shut down the engine. Why not say that?:ugh: |
They simply shut down the engine. Why not say that? |
Following engine failure the crew did what they were trained to do, followed the engine failure checklist.
Amazingly this addressed crm considerations and reduced the risk of etc etc |
An engine blew up! The crew flew the aeroplane to their destination on the remaining one!
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Utilisation of terminology ...
Leadie, It is most pleasing to see that your philosophies, being both compatible and contemporaneous with recent developments in cockpit cultural norms permit a lucid requirements elicitation of those essential activities necessary to address the situation presented to this crew. :suspect: |
The problem with the ATSB is it's filled a large team of HF experts and not many investigators with a flying background, hence you get this in their reports.
I think the current ATSB investigators should read the old ASD's to see how reports should be written. Hopefully with GH in charge now and given his operational background we will see some changes. |
One must temper this in the light of the ambient opinionage in respect to the ATSB staff, in that it is generallyt held that they would experience capability and effectiveness shortfalls in attempts to facilitate the provisionof alcoholic beverages, even when colocated with facilities where it would normally be expected that such beverages would be manufactured.
PDR |
Doesn't matter what wanky language they use in the report. The first 2 words in the cockpit after the engine failure were "Oh S......"
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Leadie, JohnT, PDR1,
Great posts, succinct, to the point, comprehensive and sadly, all too accurate. Tootle pip!! |
You must remember that ATSB reports aren't only read by the aviation industry. They are also read by non aviation people such lawyers and insurance people who may still be involved years after an event. Because of this the report must go into great detail. It may seem overly wordy but there is a reason.
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Not aimed at you, fujii, but if that's the reason, it's a complete nonsense. The purposes of an ATSB report do not include making lawyers and insurance companies happy.
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True but if you were unfortunate enough to end up in court, a document written by an independent agency that said you did everything correctly and written in a way a lawyer could understand would be very good to have.
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An ATSB report is not admissible as evidence in a court of law. What is amazing about the statement is that it is not talking about shutting down the failed engine but actually stating that they didn't shutdown the wrong engine!:ugh:
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Indeed, Lookleft.
Who knows what other nonsense confuses people about what ATSB reports are supposed to be about. |
Utilisation of terminology lacking sufficient and adequate specificity is apt inadvertently to lead readers into misinterpreting and overlooking the contemporaneous and causally positive crew resource management procedures and concepts, which procedures and concepts resulted in a potentially safety-negative in-flight incident being comprehended then subsequently dealt with using a collaborative, respectful, non-confrontational, non-discriminatory and checklist-compliant, operations manual-compliant and legally-compliant methodology Great posts, succinct, to the point, comprehensive and sadly, all too accurate DFDE |
Who knows what other nonsense confuses people about what ATSB reports are supposed to be about. |
... I give up !! You gotta tell us what DFDE stands for ... (If it is incredibly naughty, a PM will suffice to assuage my curiosity).
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Dead Foot John.........
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Dead Foot John.........
DOH .. ! Boy, am I dumb sometimes ... |
How about DFDE 'Torque, EGT, fuel flow'. |
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