FROM THE EDITOR
LION AIR FLIGHT
AS THIS ISSUE IS GOING TO PRESS, THERE IS MUCH SPECULATION AS TO THE CAUSE OF THE LION AIR FLIGHT JT610 CRASH ON OCTOBER 29 THAT KILLED 189 PEOPLE.
EDITORIAL DIRECTOR
JOE ESCOBAR
jescobar@DOMmagazine.com 920.747.0195
Soon after the “black box” of the Boeing 737 Max aircraft was recovered, people were speculating that a design flaw caused the accident. Boeing stock fell and one of the victims’ family even initiated a lawsuit accusing Boeing of failing to inform the pilots of the new anti-stalling feature on its 737 Max. Then the focus shifted to maintenance. The BBC reported that the aircraft maintenance records showed that six problems had been identified on the plane since October 26 including errors with its airspeed and altitude information displays. The article goes on to report that the aircraft’s AOA sensor had encountered problems and was replaced the day before the crash. I’m not here to judge or take a wild guess as to what happened. There are many in the mainstream media who are more than willing to prematurely “determine” what happened. Let’s just wait for the investigation to conclude and learn from it. After all, none of us are perfect. We
all make mistakes. The important thing is to learn from our mistakes and not make them again.
When it comes to accidents and incidents, rarely is the cause simply “mechanical failure.” The “Dirty Dozen” are human factors that often lead to accidents and incidents. As a recap, they are: • Fatigue • Stress
• Complacency • Lack of Communication
• Lack of Awareness • Distraction • Lack of knowledge • Teamwork
• Lack of Resources • Pressure • Lack of Assertiveness • Norms These are all preconditions to unsafe
acts.D.O.M. magazine contributing writer Gordon Dupont, known as the father of the Dirty Dozen, has shared articles on each of these human factors with us over the past several years. Not only does he describe each of these factors and how they can affect safety, he provides safety nets that we can put in place to prevent them from leading to an incident or accident. (Just in case you don’t have back copies of all our magazines available, you can always browse our past issues on
www.DOMmagazine.com.) We have serious responsibilities as
aircraft maintenance professionals. As mechanics, we need to ensure we are doing everything we can to ensure safety and airworthiness. As managers, we need to ensure our staff has the resources, training and knowledge to do their jobs safely. We often work under tight deadlines — it’s part of the job. We just can’t allow pressure or deadlines to influence our commitment to safety! Here’s to a safe and prosperous
New Year! Thanks for reading, and we
appreciate your feedback! – Joe
4
DOMmagazine.com | dec 2018 |
jan 2019
Page 1 |
Page 2 |
Page 3 |
Page 4 |
Page 5 |
Page 6 |
Page 7 |
Page 8 |
Page 9 |
Page 10 |
Page 11 |
Page 12 |
Page 13 |
Page 14 |
Page 15 |
Page 16 |
Page 17 |
Page 18 |
Page 19 |
Page 20 |
Page 21 |
Page 22 |
Page 23 |
Page 24 |
Page 25 |
Page 26 |
Page 27 |
Page 28 |
Page 29 |
Page 30 |
Page 31 |
Page 32 |
Page 33 |
Page 34 |
Page 35 |
Page 36 |
Page 37 |
Page 38 |
Page 39 |
Page 40 |
Page 41 |
Page 42 |
Page 43 |
Page 44 |
Page 45 |
Page 46 |
Page 47 |
Page 48 |
Page 49 |
Page 50 |
Page 51 |
Page 52 |
Page 53 |
Page 54 |
Page 55 |
Page 56 |
Page 57 |
Page 58 |
Page 59 |
Page 60
