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-   -   Published Reports (https://www.pprune.org/safety-crm-qa-emergency-response-planning/281913-published-reports.html)

jumpseater 28th June 2007 09:20

Published Reports
 
I wonder if anyone can help. I'm currently on a course where I need to provide a project demonstrating the 'swiss cheese' effect. I've been trying to find on-line reports for a couple that interest me.
They're both cargo flights, the Coventry B737-200 accident, and the Chanel Islands accident of an F27, which if memory serves was partly due to loading.
I know both were UK AAIB investigations and have had a look at the AAIB website but can't find a link to either report, though they are both ten years ago or so.
Many thanks in advance for any pointers
js

update: found the channex one.

BAMRA wake up 28th June 2007 09:43

This page?

http://www.aaib.dft.gov.uk/publicati...in_archive.cfm

Also there's a link at the bottom of the list to 1996-1999.

Tigs2 29th June 2007 08:00

Jumpseater
If you read in and understand The James Reason model, you can apply it to analyse most aircraft accidents. You don't have to look for a specific report.

Daysleeper 29th June 2007 09:37

try

737 coventry

and f27 Guernsey


total time to find - 30 seconds using the search function on the AAIB website.

jumpseater 30th June 2007 21:16

Thanks for your help one and all.
The model we have to 'demo' Tigs, is the Hawkins SHELL model which is a similar sort of thing. The two accidents I've chosen were because I could recall a good element of the details, and had specific elements to them that I have recently been familiar with, loading and crew duty hours.

Daysleeper, note first post by myself and reason for edit......
The second link was also found by myself however that doesn't give the full report, just a bulletpoint outline. See difference in size of file. Thanks for your 30 secs anyway
:ok:

Daysleeper 1st July 2007 11:40

Hmm I'll try to find a full copy for you on the net...I like a challenge :}

jumpseater 2nd July 2007 10:30

Thanks ds, I've had a good look to no avail, so I've sent a request to AAIB, please dont spend hours on it

Kit d'Rection KG 2nd July 2007 21:44

Ahem,

Jim's cheese model is only applicable once you've had the accident.

Sid Dekker's models work before that, and that's why I prefer them.

leopold bloom 3rd July 2007 08:21

Swiss Cheese
 
Try the just released report from Australia regarding a Sea King accident, plenty of holes in the cheese here. http://www.defence.gov.au/sea_king_b...of_inquiry.htm

jumpseater 3rd July 2007 14:18

Thanks for your input everyone. On the course we've now covered the 'Reason' swiss chesse model too, so I've plenty to go on.
Thanks lb for the link to the sea king accident, interesting and tragic reading.

I'll let you know how I've got on next week sometime:ok:
js


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