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Just Culture & Systems Thinking Blog

Keeping track of first and second stories and how work-as-done is often not as imagined

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ACARS Accident AD ailerons air-ground air astana airworthiness automation confusing confusing guidance direction directive documentation embraer ergonomics flight control forgotten fuel funny gate gauge green hidden landing gear Maintenance no cross-check NOTAM parking radio red rosebead rubber chicken seaplane sensor stop stop bar stuck traffic Train training uplock washing wireless workasdone workasimagined

Tag: SOPS

Aviation

Checking the FAP/FAF which is not on the chart…

06/03/202006/03/2020 by rudy

3 years after the fatal crash of an ACT Airlines Boeing 747 at Bishkek (Kyrgyz Republic) killing all 4 occupants, the final report mentions… …the crew’s failure to conduct the standard operational procedure which calls…

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