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时间:2010-08-16 09:43来源:蓝天飞行翻译 作者:admin
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14.4
Are audit results documented and reviewed?
14.5
Are corrective actions completed and verified in a timely
manner?
Please complete and return by fax to: +1 (503) 434 6454
Swedish FOM IFR Seminar
Stockholm Sweden- 29 September 2004
http://www.gulfairco.com
Gulf Air Safety Management System
(Lessons learned from the GF072 accident)
(23rd August 2000)
presented by Captain M. K. Al-Said
Head of Flight Safety & Quality Assurance
(and Emergency Planning)
Aim of Presentation
•Company Overview
•GF 072 Accident Summary
•Flight Safety & Quality Assurance Dept
•Gulf Air Safety Management System
•Training - AQP
•Audit Programme
•Emergency Response /Contingency
Planning
•Future Plans

Founded by Capt. Frank Bosworth in 1953
Ex RAF Pilot
First Aircraft – Anson
Linked to BOAC
1973 Gulf States Joint Venture
50 Year Anniversary 2003
Gulf Air History
Gulf Air- 2004
Aircraft Fleet – 4 types
A330-200 B767-300ER
A340-300 A320-200
Gulf Air Statistics
Total Air and Ground Personnel 5000
Current Fleet Size 35 – August 2004
Recently added - 3 aircraft x A340-300
Planned Fleet Expansion 60 aircraft
2009
Gulf Air Network
Current Destinations 47
Gulf Air Statistics
(cont)
Fleet Size (35): 11 A320, 6 A330, 9 A340, 9
B767
Flight Crew (450): 230 Captains, 210 F/O’s,
10 S/O’s
Flight Attendants: 1950
Designated Examiners: 30
Pilot Instructors: 35
Flight & Cabin Crew consists of 70 different nationalities!
Gulf Air Operations Overview
GF Main Base - Flight & Cabin Crew –
Bahrain
Second Base - Gulf Traveller (B767)– Abu
Dhabi
– Established June 2003
Simulator Training Base – Doha Qatar
Maintenance Base – GAMCO Abu Dhabi
New Reservation Centre (WWCC) - Oman
Regulatory Authority
Oversight
Directorate General of Civil Aviation & Meteorology
(DGCAM)
Regulations based on JAR OPS 1
DGCAM HQ Office in Oman
DGCAM Bahrain (Field Office)
JAR-OPS1 CAR-OPS 1
DGCAM Oman
Operations
Manuals A B C D
GF 072 A320 Accident Summary
Pre GF072 -The Scenario 1990-2000
The Organisation & System
The Safety Culture
Warning Signs
The Accident
The Accident Aftermath 2000-2002
The Accident Findings
The Changes – May 2002
The Organisation
President & Chief Executive (PCE)
PCE rotated between Owner states every
5 years
Usually a civil servant
Undersecretary Rank in Ministry of
Transport or Communications
Oman From 1987 to 1992 Oman
UAE From 1992 -1999 (7 year term)
Bahrain 1999-2002
PCE Reports to Executive Board
Members from Owner States
Organisation (cont)
Flight Safety Structure till May 2002
Vice President Operations
Senior Manager Flight Safety
Asst Manager Flight Data Control Manager Emergency Planning
Manager Emergency Planning
– created 24 Aug 2000
The Safety Culture
Pathological culture
People don’t want to know (any bad
news)
Messengers (whistle-blowers) are
punished
Responsibility is shirked
Failure is punished or concealed
New ideas are actively discouraged
The Safety Culture
(cont)
Reactive (bureaucratic) culture
When someone makes a mistake – it is
hoped that it isn’t found out
Messengers are listened to if safety issues
are presented
Responsibility is compartmentalised
Failure leads to short term fixes
New ideas often seen as problems or
increased workload
The Safety Culture
(cont)
Generative (pro-active) culture
Actively seeks gaps in safety system
Messengers are trained and rewarded
Responsibility is shared
Failures lead to far-reaching reforms
New ideas are welcomed
Warning signs
A40-EM Abu Dhabi – R/W Excursion
March 1997
Ever get that icy or chilly feeling ??
Tip of the iceberg Accident /Incident Pyramid
The Accident
GF 072 Accident
23rd August 2000 at 1900 local
GF 072
Cairo to Bahrain
Airbus A320 A40-EK
135 Passengers on Board
8 Crew Members
Accident Synopsis
On 23 August 2000, about 1930 Bahrain local
time, Gulf Air flight GF-072, an Airbus A320-
212, Sultanate of Oman registered aircraft
A40-EK, crashed at sea about 3 miles northeast
 
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