How Good is your Ability to Observe?

A person I knew stated,  “We learn on how to prevent mishaps by deriving from the investigations stemming from mishaps.” I agree that we learn by observing the mistakes that are made. That being said, I would add that we actually have a more superior ability to observe these mistakes as they are made onContinue reading “How Good is your Ability to Observe?”

Flawless operation or a Mishap Free Operation: What Should You aim for?

It has been said, “You seem to be convinced that a flawed world can be actually made flawless.” My response is this. Human error is part of our nature. However we can make our own flight operations mishap free by remembering Miller’s Rule for Safety Management: ALL SAFETY IS LOCAL. Any one safety manager cannotContinue reading “Flawless operation or a Mishap Free Operation: What Should You aim for?”

Just Culture: Why is Jailing Pilots a surprise?

Does not the person in charge of any vessel or organization bear some legal responsibility? If so, why would anyone be surprised to see a pilot jailed following an accident? Are we really just seeing the terribly weak legal profession just beginning to realize how much work has gone undone in the past 70 years.Continue reading “Just Culture: Why is Jailing Pilots a surprise?”

Flawed Investigations?

I cite a flawed investigation as the cause for re-occurrence because in aviation you have one chance to get it right.  You must gather the right facts, gather the right testimony, analyze the data, reach the correct conclusions and create recommendations for corrective actions. In the process you will find human error or human factors.Continue reading “Flawed Investigations?”

AF447 Investigation Fails to Deter Future Mishaps

It is with great sadness that I note the issuance of BEA’s recommendation for new data streaming requirements for all pax acft. In other words, BEA is saying, “To help us reduce our costs in locating the next accident site, we would like all of you to stream your DFDR.” Well, that pretty much sumsContinue reading “AF447 Investigation Fails to Deter Future Mishaps”

AF 447: Proof of Incomplete, Possibly Incorrect Investigation?

What is the purpose of a Safety Investigation of an aviation disaster? The answer is simple and singular: the purpose of a Safety Investigation is to determine what happened and what actions can be taken to ensure that the event does not reoccur? This is the simple and singular purpose of a Safety Investigation ofContinue reading “AF 447: Proof of Incomplete, Possibly Incorrect Investigation?”