Human Factor- Aircraft Incident
1) INTRODUCTION
This assignment will be discuss, analyse and critical evaluate on the incident of aircraft Boeing 737-400 with flight registration number G-OBMM near Daventry on 23 February 1995. This assignment will be base on the report of Air Accident Investigation Branch (AAIB), Department of Transport with report number 3/96 (EW/C95/2/3). This aircraft incident has been choose because of the report provided by AAIB was clear with the sequences of incident, information of the aircraft operator and the Authority, complete with clear finding and factors that lead to incident also provide with 15 safety recommendations to prevent this type of incident occur again in the future.
In this assignment also, the SHELL Model which is a conceptual framework proposed in International Civil Aviation Organization (ICAO) Circular 216-AN31 (Tzvetomir Blajev, 2009) will be used to analyse and explain the causes of the incident and describe how these factors fit into the SHELL Model. The chosen of this error module because it was conceptual framework proposed by ICAO in Circular 216-AN31 to be used in Human Factors subject (Tzvetomir Blajev, 2009).
2) SYNOPSIS OF THE INCIDENT
A flight G-OBMM (B737-400) was charted to fly from East Mid Land Airport to Lanzarote in the Canary Island. Before departing, during commencing normal pre-flight check, flight crews noticed that the hydraulics power circuit breakers (CB’s) had been left open. The flight officer went down to the apron and asked the dispatching engineer about the open of hydraulics power CB’s. The dispatching engineer check the aircraft logbook to look for any G-OBMM maintenance history related with the open of hydraulics power CB’s. The dispatching engineer just found the borescope inspection that was carried out at both engine during previous night and that task was signed off by the in charged engineer who indicated that task was completed and satisfied successfully. As far as the engineer concern, the
This assignment will be discuss, analyse and critical evaluate on the incident of aircraft Boeing 737-400 with flight registration number G-OBMM near Daventry on 23 February 1995. This assignment will be base on the report of Air Accident Investigation Branch (AAIB), Department of Transport with report number 3/96 (EW/C95/2/3). This aircraft incident has been choose because of the report provided by AAIB was clear with the sequences of incident, information of the aircraft operator and the Authority, complete with clear finding and factors that lead to incident also provide with 15 safety recommendations to prevent this type of incident occur again in the future.
In this assignment also, the SHELL Model which is a conceptual framework proposed in International Civil Aviation Organization (ICAO) Circular 216-AN31 (Tzvetomir Blajev, 2009) will be used to analyse and explain the causes of the incident and describe how these factors fit into the SHELL Model. The chosen of this error module because it was conceptual framework proposed by ICAO in Circular 216-AN31 to be used in Human Factors subject (Tzvetomir Blajev, 2009).
2) SYNOPSIS OF THE INCIDENT
A flight G-OBMM (B737-400) was charted to fly from East Mid Land Airport to Lanzarote in the Canary Island. Before departing, during commencing normal pre-flight check, flight crews noticed that the hydraulics power circuit breakers (CB’s) had been left open. The flight officer went down to the apron and asked the dispatching engineer about the open of hydraulics power CB’s. The dispatching engineer check the aircraft logbook to look for any G-OBMM maintenance history related with the open of hydraulics power CB’s. The dispatching engineer just found the borescope inspection that was carried out at both engine during previous night and that task was signed off by the in charged engineer who indicated that task was completed and satisfied successfully. As far as the engineer concern, the