and disappeared, never to be found. Perhaps one day a hunter will notice a skeleton up in a tree and wonder just how on earth it got there. The aircraft crashed an unknown amount of time later, out of fuel. What can we do about it? In this


case, the latch was giving lots of warning that it needed replacement and should have been replaced even if it took calls around to locate new latches or even grounding the aircraft until a set was located and obtained. As for the AME who did what he thought best at the time to keep the aircraft flying, he was fired by the company and received a 90-day license suspension by the regulatory body. Had the aircraft not made it back, he could have been facing a criminal negligence causing death charge.


When placed in a position of


having to decide whether it is Safe to fly until a new part arrives, stop and think. “How many people will thank you if your decision is wrong?” A common lack of resource is lighting which played a role along with a number of its teammates to cause the unthinkable Aloha “convertible” accident to occur. In the June 2016 issue of


D.O.M. magazine, we said that complacency played a major role in the maintenance error that enabled the accident to occur. However, complacency had a number of accomplices under Lack of Resources, starting with the lighting in the World War II-era hangar. The hangar was built perfectly for the DC3 and similar aircraft of the day, but was too low to completely light


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up the much larger Boeing 737. The lights were never raised and this wasn’t a major problem as most routine work occurs on the engines and landing gear. As “Murphy” would have it, the low light required that they use flashlights to look for cracks. The problem with flashlights is they provide a very focused beam of light over a small area and you lose the advantage of peripheral vision. Have you ever looked at something and seen nothing, but as you turn away you see something that was there out of the corner of your eye? Peripheral vision is more powerful and if you are using a flashlight to see, the weaker direct vision will follow that light. The cracks were forming along the S-10 longeron above the windows on each side. The proper stand to go over the wing would have enabled


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Backed by BizJet’s world-renowned standard of precision engine performance and uncompromising integrity, our BizJet Engine Support Team (BEST) now comes to you. Specically qualied to service your Rolls-Royce engines, our experts are deployed to diagnose and resolve your unexpected engine maintenance issues anywhere in the world. When engine integrity is on the line, BEST is on the way.


1.855.789.BEST (2378) / (International) 1.918.831.7657 / Email: BEST@bizjet.com / www.bizjet.com 29


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