Презентация на тему Detailed analysis of the anytown city airport accident

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2. After investigation the report of the accident
3. ORGANIZATIONAL PROCESSES Management did not
4. LATENT CONDITIONSWeather conditions(convective clouds, thunderstorms)Arrival delayed by
5. DEFENSESPoor performance of non-directional beacon, low power,
6. WORKPLACE CONDITIONSThe RWY is filled with waterRelatively
7. ACTIVE FAILURES A night non-precision instrument approach
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After investigation the report of the accident we have identified organizational processes that influenced the operation, latent conditions in the system safety, defenses, workplace conditions and active failures, including errors and violations.

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Detailed analysis of the anytown city airport accident

DETAILED ANALYSIS OF THE ANYTOWN CITY AIRPORT ACCIDENT

After investigation the report of the accident we have identified organizational processes

ORGANIZATIONAL PROCESSES Management did not provide proper training of crewThe

LATENT CONDITIONSWeather conditions(convective clouds, thunderstorms)Arrival delayed by two hours compromising crew duty-time

DEFENSESPoor performance of non-directional beacon, low power, and are not reliable in

WORKPLACE CONDITIONSThe RWY is filled with waterRelatively wide RWY with a steep

ACTIVE FAILURES A night non-precision instrument approach to an unfamiliar airportApproach with

ConclusionAfter detailed analysis of the accident we decided that ATC can not

Слайды презентации

Слайд 2 After investigation the report of the accident we

After investigation the report of the accident we have identified organizational

have identified organizational processes that influenced the operation, latent

conditions in the system safety, defenses, workplace conditions and active failures, including errors and violations.

Слайд 3 ORGANIZATIONAL PROCESSES
Management did not provide

proper training of crew
The decision to perform regular flights

to the airport, aware of disadvantages in the equipment
Organization of flights in the absence of the necessary level of emergency, fire and rescue services of the airport
Aircraft type selected from the marketing and economic factors
Working hours 11:00 – 22:00(too much)
Poor safety inspection at airport
Lack of information on the performance of NDB, wind condition
A new four day schedule on another route

Слайд 4 LATENT CONDITIONS
Weather conditions(convective clouds, thunderstorms)
Arrival delayed by two

LATENT CONDITIONSWeather conditions(convective clouds, thunderstorms)Arrival delayed by two hours compromising crew

hours compromising crew duty-time requirements
Drainage system RWY contamination
Second pilot

(no personal or professional behavior extremes, both pilots made flight on unfamiliar airport)
A flight schedule which allowed only 15 minute turnaround at Anytown

Слайд 5 DEFENSES
Poor performance of non-directional beacon, low power, and

DEFENSESPoor performance of non-directional beacon, low power, and are not reliable

are not reliable in convective weather
Distorted indication of ground

facilities(inadequate weather services providing)
Inefficient lighting system
ACFT not equipped with a thrust reverses

Слайд 6 WORKPLACE CONDITIONS
The RWY is filled with water
Relatively wide

WORKPLACE CONDITIONSThe RWY is filled with waterRelatively wide RWY with a

RWY with a steep downward slope on west
Friday summer

evening late hours

Слайд 7 ACTIVE FAILURES
A night non-precision instrument approach to

ACTIVE FAILURES A night non-precision instrument approach to an unfamiliar airportApproach

an unfamiliar airport
Approach with speed exceeds
The PIC did not

consult the charts in the flight manual
The co-pilot did not make additional requests to the ATC during landing
Airline representative did not report to the ATC about heavy rain
Ignoring the information about the wrong data of ground facilities
Clearance for a night visual approach