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Human Factors

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by

Ashley Bell

on 20 November 2012

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Transcript of Human Factors

The Dirty Dozen Colgan Air Flight 3407
Buffalo, New York EWR->BUF THE FLIGHT PLAN PROCEDURES COMPLACENCY COCKPIT VOICE RECORDER FATIGUE WEATHER
CONDITIONS PRESSURE STALL PROCEDURE NORMS Got the Sniffles?
You should call in sick. FINANCIAL ISSUES STRESS TAKE CONTROL
AND BE A LEADER PERSONAL PORTABLE ELECTRONICS LACK OF
AWARENESS STERILE COCKPIT LACK OF
COMMUNICATION IMPROPER TRAINING LACK OF
KNOWLEDGE MISSING PERTINENT
INFORMATION LACK OF
RESOURCES THE DIRTY DOZEN
IN DEPTH NATIONAL TRANSPORTATION SAFETY BOARD FINDINGS THE FLIGHT
CREW DISORDERLY WORK
CONDITIONS LACK OF
TEAMWORK WEATHER FOR
FEBRUARY 12, 2009 AT 22:17 EST FATALITIES METAR BUF 130200Z 24015G22KT 3SM
-SN BR FATALITIES Ashley Bell Kyle Berry Jim Davis Ryan Goldflus ALISON DES FORGES GERRY NIEWOOD COLEMAN MELLETT BEVERLY ECKERT LACK OF
ASSERTIVENESS DISTRACTION AMERICAN
CANADIAN
CHINESE
ISRAELI
TOTAL PASSENGERS CREW GROUND TOTAL
41 4 1 46
2 0 0 2
1 0 0 1
1 0 0 1
45 4 1 50 Did you get your
8 hours of sleep
last night? INEXPERIENCED FAILED CHECK OUT FLIGHTS LACK OF FLYING HOURS WHO? WHERE? EXPERIENCE? FAA REGULATIONS COLGAN MANAGEMENT LACK OF FOCUS PERSONAL DISTRACTIONS RESPONSIBILITIES UNFAMILIAR CHECKLISTS HEALTH OF
THE CREW TRAINING ACCOMMODATIONS TRAVEL MANAGEMENT FAILURE STANDARD
PROCEDURES IDLE CONVERSATION HEALTH OF THE CREW IMPROPER INSTRUCTION FOLLOW TRAINING INCORRECT PROCEDURES
Full transcript