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Incident at Heathrow

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Incident at Heathrow

Old 3rd Jun 2013, 12:38
  #861 (permalink)  
 
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Cowls unlocked should have been picked up on the walk around! S##t happens!
Cowls unlocked should have been picked up by the engineer who signed it off, and presented it to the crew. Bigger s##t happens.

Once airborne the crew did a good job, as expected.
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Old 3rd Jun 2013, 12:43
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Gazumped

After 863 posts, I feel you have just summed it up perfectly!!

Last edited by Centreline747; 3rd Jun 2013 at 12:44.
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Old 3rd Jun 2013, 12:47
  #863 (permalink)  
 
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Originally Posted by gazumped
Can anyone with industry experience honestly level genuine criticism at the crews actions(one airborne, of course)?
Try the AAIB and MATS 10.10.2 here (page 7) and Safety Recommendation 2005-069 (page 16).

http://www.aaib.gov.uk/cms_resources...1EV%201-06.pdf
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Old 3rd Jun 2013, 14:24
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Can anyone with industry experience honestly level genuine criticism at the crews actions(one airborne, of course)?
Gazumped,
No, because the only ones who knew the exact situation, as they knew it, were those on the flight-deck.
Of course, that will not stop all the official Monday morning quarterbacks in the various "inquiries" that will take place, once the media have lost interest, from finding all sorts of faults.
Just like happened to Sullenberger ---- and so many others over the years --- remember right back to the Elizabethan at Munich, the BOAC L-049 (or was it a 749) Connie at Singapore/Kallang, the QF "Bahrain Bomber" ---- and so on.
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Old 3rd Jun 2013, 14:50
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Originally Posted by gazumped
Cowls unlocked should have been picked up by the engineer who signed it off, and presented it to the crew. S##t happens!

(if) the crew did a good job, Cowls unlocked should have been picked up on the walk around!

as expected Bigger s##t happens Once airborne.
Or have I misquoted you?

Last edited by slip and turn; 3rd Jun 2013 at 14:50.
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Old 3rd Jun 2013, 15:02
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Sh!t happens, does it gazumped? Well that's alright then - no need to rethink anything because 'sh!t happens'. No need to check the things on your checklist properly because 'sh!t happnes'. Don't check the latches on the cowls because you might get your overalls dirty and anyway 'sh!t happens'. Overflying a major populated area is irrelevant because 'sh!t happens'. Let's not bother to try to design out avoidable human error because 'sh!t happens'.

You must work at Morton Thiokol.
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Old 3rd Jun 2013, 15:11
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Amazing read

WHBM, thanks for the link. Incredibly interesting and well worth the read.
The crew and ATC executed like a well greased machine.
A lot of good info there and plenty to think about. Sometimes there are no perfect answers, just the right choices.
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Old 3rd Jun 2013, 15:19
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blame anybody but yourself

Spot on RTM Boy spot on.
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Old 3rd Jun 2013, 15:57
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I'd say there was just one hole left in the cheese & all concerned were fortunate that the pilots did everything necessary to ensure, on this occasion, it didn't line up.
The pilots are a potential hole in the cheese!

Or are you one of those people who thinks that pilots are little short of superhuman and whose role in life is to sort out other peoples' screw ups?

If you are going to comment using Jim Reason's model please, at the very least, understand what the holes mean!
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Old 3rd Jun 2013, 17:49
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The pilots are a potential hole in the cheese!

Or are you one of those people who thinks that pilots are little short of superhuman and whose role in life is to sort out other peoples' screw ups?

If you are going to comment using Jim Reason's model please, at the very least, understand what the holes mean!
What arrogant guff. Yes the pilots are a potential hole in the cheese but on this occasion they weren't were they? Yes they missed it on the walk round as many before them have, but when faced with the airborne problem no further 'cheese holes' were lined up.

Go back to flight sim!

Last edited by flapassym; 3rd Jun 2013 at 17:49.
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Old 3rd Jun 2013, 18:20
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Too much "reasoning" about cheese holes and what ifs. Unless you truly can define the various holes you really shouldn't be arguing about how many are left.

How close is not suitable for argument among non-professionals. What we are really interested in is the adequacy (not perfection since **** sill will happen) of the expected AAIB recommendations after they finish their investigation of contributing factors
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Old 3rd Jun 2013, 18:22
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Try the AAIB and MATS 10.10.2 here (page 7) and Safety Recommendation 2005-069 (page 16).

http://www.aaib.gov.uk/cms_resources...1EV%201-06.pdf
WHBM, in a single post you have restored my faith in civil aviation!

In the full report it will be interesting to see what happened between the crew declaring PAN, with the intention of returning to Heathrow and subsequently ATC providing radar vectors to 27R.

Either:

ATC simply provided the vectors over central London, with no suggestion of alternatives. Hopefully we'd be told the reasoning behind ATC not following the procedures suggested in the N481EV report.

OR

The crew were given alternatives to Heathrow but elected to remain with their original request. ATC would then have complied with the crew's choice. Hopefully we'll find out the reasoning behind the crew's decision to goto Heathrow.
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Old 3rd Jun 2013, 19:25
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Easy, you build a new London Gateway airport in the Thames estuary
Re; avoiding the need to overfly built-up areas, won't the Thames Estuary airport have runways aligned East-West like LHR? If yes, they'll still be a fair degree of over-flying London of approaching from the west. If taking off eastwards, the North Atlantic traffic will still need to turn west and overfly Greater London.

Correct me if I'm wrong but I don't see a vast difference in overflying London for either LHR or the Thames estuary airport.
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Old 3rd Jun 2013, 19:37
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I am noticing a striking similarity to the 1990 G-BJRT depressurisation.

In that incident, the primary cause was quickly identified as the failure of engineering to properly carry out a safety critical task.

The correct procedure was documented in company maintenance manuals, but not followed.

Have a read of the AAIB's summary report on G-BJRT.

Same operator, 23 years later - something to think about?

Last edited by Sillert,V.I.; 3rd Jun 2013 at 19:46.
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Old 3rd Jun 2013, 19:54
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Where's the striking similarity in that??

Oh wait - I see it now - recommendation #7 CAA said someone needed fresh spectacles
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Old 3rd Jun 2013, 19:57
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Originally Posted by slip and turn
Where's the striking similarity in that??
As I see it, the similarity is not in what happened, but in why it happened.
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Old 3rd Jun 2013, 20:26
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Originally Posted by Safety Concerns
Where have you been?

G-CPER; G-YMME; G-VIIA. All on the AAIB website.
It seems they just keep coming...

IMO taking disciplinary action against the chaps directly responsible will do nothing to stop something similar from happening again.
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Old 3rd Jun 2013, 20:29
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IMO taking disciplinary action against the chaps directly responsible will do nothing to stop something similar from happening again.
Totally agree.
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Old 3rd Jun 2013, 20:51
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Slip n turn
It's going to be your aircraft when doors are closed. If you've been planted in your seat 45 minutes since you last had a look outside then manage the bloody thing by getting out and looking at it whilst you still have the chance so you know no other bugger fiddles with it again before you depart. If you don't know that the ground crew talking to you on pushback or their mate giving you the thumbs up and wave have done their own dligent external check on your aircraft too, and are competent to do it, then why are you leaving the apron?
With your logic the Captain would have to get out of the aircraft after the baggage doors were closed and the refuelling finished and do a walk around to check up on everyone just before departure on every single flight. If another department is working on the aircraft just prior to pushback the flight crew have to trust them to do their jobs to a degree. That's just modern aviation. You can't know for sure that they have " done their own diligent external check", you have to trust that as professionals, they have done their job. You're living in a fantasy land.
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Old 3rd Jun 2013, 21:02
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I want to ask a question and it is how do you feel the CAA and EASA is doing with regulating the industry and improving safety?

My reason for asking is related to the recent issues in Australia regarding the Pel Air accident its investigation which resulted in a very comprehensive Senate Inquiry into the failings of both CASA and the ATSB.

This Avweb link gives a pretty good summary
AVwebFlash Complete Issue

There is a forum running on the Australian section. Would be interesting to hear from some new voices.
http://www.pprune.org/australia-new-...011-a-100.html
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