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网曝天猫店富美金盛家居专营店坑蒙拐骗欺诈消费者
Level of safety was not commensurate with the
requirements of a scheduled passenger operation.
Aerodrome operator had neither the staff nor the
resources to ensure regularity of operations.
…
Investigation
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A project supported by AIRBUS and the CAAC
June 2007
… But
Lack of standards for commuter operations.
Lack of supervision of air traffic facilities.
Authorities’ disregard of previous safety violations.
Legislation out of date.
…
Investigation
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June 2007
… But
Conflicting goals within the authority.
Lack of resources within the authority.
Lack of aviation policy to support the authority.
Deficiencies in the training system.
Investigation
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A project supported by AIRBUS and the CAAC
June 2007
Causes
Decision to continue approach below MDA without
visual contact.
Performance pressures.
Airline’s poor safety culture.
Investigation
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June 2007
Safety recommendations
“Tip-of-the-arrow” recommendations.
But
Review the process of granting AOC.
Review the training system.
Define an aviation policy which provides support to the
task of the aviation administration.
…
Investigation
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A project supported by AIRBUS and the CAAC
June 2007
… But
Reform aviation legislation.
Reinforce existing legislation as interim measure.
Improve both accident investigation and aircraft and
airways inspection processes.
Investigation
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June 2007
Errors ...
…are like mosquitoes …
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A project supported by AIRBUS and the CAAC
June 2007
To fight them …
... drain their breeding swamps.
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Questions and answers
Basic safety concepts
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A project supported by AIRBUS and the CAAC
June 2007
Questions and answers
Q: How is safety defined in Document 9859?
A: ?
Slide number:
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June 2007
Questions and answers
Q: Enumerate the five building blocks of the
organizational accident.
A: ?
Slide number:
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A project supported by AIRBUS and the CAAC
June 2007
Questions and answers
Q: Explain the components of the SHEL(L) Model.
A: ?
Slide number:
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June 2007
Questions and answers
Q: Enumerate three basic traits underlying effective
safety reporting.
A: ?
Slide number:
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A project supported by AIRBUS and the CAAC
June 2007
Questions and answers
Q: How can organizations be characterized,
depending upon their management of safety
information?
A: ?
Slide number:
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Points to remember
1. The organizational accident.
2. Operational contexts and human performance
3. Errors and violations.
4. Organizational culture and effective safety
reporting.
5. The management of safety information.
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June 2007
A project supported by AIRBUS and the CAAC
AIRWORTHINESS AND FLIGHT STANDARDS
MASTER IN AVIATION SAFETY MANAGEMENT
FLIGHT OPERATIONS
OPS 09 – Air transport safety and human factors
Tianjin
June 2010
June 2007
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Part 3
General of Human Factors
Sun Ruishan
Research Institute of Civil Aviation Safety
Civil Aviation University of China, Tianjin, China
Tel:0086-22-24092593
Fax:0086-22-24957940
Email: sunrsh@hotmail.com
http://www.air-safety.com/
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A project supported by AIRBUS and the CAAC
中国航空网 www.aero.cn
航空翻译 www.aviation.cn
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