Accident reports slammed for
ignoring engineers.
Publisert:
04.11.08
The ability
of airlines to learn from accidents
involving maintenance errors is severely
compromised by the failure of
investigators to include in their
reports the salient details of the
engineers or mechanics who made the
mistakes, according to Philip Hosey of
the
International Federation
of Airworthiness (IFA).
An engineer on the
technical committee of the IFA, Hosey
notes the prolific information provided
in accident reports on the pilots,
including their licences, ages, medical
records, flying hours - both total and
on type, recent flying and training
records, rest periods before flying, and
many other facts. He contrasts that with
the total lack of equivalent detail
about the engineers involved or the
circumstances associated with their work
and the specific job on which the
mistake was made.
Speaking at the
28-30 October
International Aviation Safety Seminar
in Honolulu, shared by the IFA with the
Flight Safety Foundation and the
International Air Transport Association,
Hosey said that all the data pertaining
to pilots is faithfully recorded even
when they played no part in the accident
cause or outcome, whereas detail about
the engineer's training, health,
experience, background, working hours
and other salient detail is almost
always omitted in reports, even when
maintenance error is involved.
Hosey quoted only one
recent report he was aware of in which
all the appropriate detail about the
engineer and his task was provided.
He said it is
remarkable that this difference in
attention to the detail provided about
two different professional groups in
relation to accidents should exist, and
it may be one of the reasons why
managing the risk of error during
maintenance receives less detailed
attention than managing the risk of
pilot error.
Recording engineer
working hours and patterns, including
shift times and rest periods is at least
as important as for pilots, Hosey argued,
because the pilot's task can, at
high-risk periods, generate adrenaline
that can help overcome the affects of
fatigue. An engineer's task does not
benefit from an adrenaline burst toward
the end of a long night shift, Hosey
said.
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