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Aviation Human Factors
Industry News
Volume V. Issue 27, September 25, 2009
Hello all,
To subscribe send an email to: rhughes@humanfactorsedu.com
In this weeks edition of Aviation Human Factors Industry News you will read
the following stories:
FAA recommends specific training to prevent cowl
loss
The US FAA wants operators of
Airbus A319 and Bombardier
CRJ100/200 aircraft to develop
type-specific training programs to
help mechanics and pilots verify
that engine-fan cowls are properly
latched before flight. The
Information for Operators note,
published earlier this week,
follows numerous incidents where
unlatched covers have separated
from the aircraft in flight or on the
ground.
According to the FAA, there have been 15 such events involving Airbus
single-aisle aircraft since 1992 and 33 incidents involving the CRJ models
since 2001, including six cases in 2007.
"Despite the release of an FAA airworthiness directive (AD) for Airbus
single-aisle airplanes and numerous bulletins for Airbus single-aisle and
Bombardier CL-600-2B19 (CRJ 100/200) model airplanes, engine-fan cowl
separations have continued to occur," the agency writes. The FAA is
recommending that carriers operating the aircraft "develop a training
program for maintenance personnel and flight crews on inspection
procedures to verify that the engine-fan's cowl is latched".
The agency is also asking that the carriers revise procedures to require
maintenance crews to inform flight crews when engine-fan cowls have
been opened before flight.
Human Factors Industry News 2
Busted! American Airlines Workers Caught In Drug
Sting
Eight AA Workers Arrested In Puerto
Rico And Miami. An investigation into a
drug smuggling operation running from
the Caribbean to Florida resulted in 20
arrests last Monday, including eight
employees of American Airlines.
The Dallas television station KXAS
reports that the employees worked in
both Puerto Rico and Miami. They are
accused of smuggling 9,000 pounds of
cocaine. Airline spokesman Tim Wagner
told the station the company fully cooperated with the authorities in the
investigation.
"As a company, we hope the actions of a few employees don't reflect
negatively on the tens of thousands of ethical American Airlines employees
who work hard to serve the public daily," Wagner said.
A DEA spokesman said there are 23 warrants connected to the case.
This is the third time American employees have been caught in a drug bust.
Similar stings in 1999 netted 55 American employees, according to CNN.
And USA Today reports that in 2004, 11 American Airlines cargo workers
were indicted on charges of smuggling and distributing cocaine and heroin
at Miami International Airport.
Murphy’s Law Pays a Visit
On 13 March 2009, an R-8C JSTARS, tail number 93-0597, assigned to
379th Air Expeditionary Wing, experienced a near catastrophic fuel
tank over-pressurization during aerial refueling. The Mishap Aircraft
(MA) terminated its mission and returned to Al Udeid Air Base, Qatar .
The crew and mission personnel evacuated the aircraft safely with no
injuries. The mishap resulted in damage to the MA in the amount of
Human Factors Industry News 3
$25 million dollars. There
was no damage to private
property.
The mishap occurred during
operations in the Area of
Responsibility (AOR). The
Mishap Crew (MC) had
begun aerial refueling (AR)
with a KC-135, when the
mishap core and personnel
aboard heard and felt a loud
bang throughout the
midsection of the aircraft. The MC suspended AR to evaluate the MA
to checkout their systems and evaluate the MA for any damage.
Finding nothing apparently wrong, the MC re-latched to the tanker
and attempted to continue the AR when another series of loud noises
and vibrations were heard and felt throughout the aircraft. Personnel
aboard the KC-135 observed a stream of vapor and fuel streaming
from the MA and alerted the MC.
The MC checked for damage through a rear window and observed
fuel streaming from at least two holes in the left wing, just inboard of
the number two engine. The MC opted to terminate the mission and
return to Al Udeid. Maintenance personnel then examined the MA and
found that the number two main fuel tank had ruptured, causing
extensive damage to the wing of the MA.
The Accident Investigation Board (AIB) President found, by clear and
convincing evidence, that the mishap was caused when a civilian
subcontractor employee inadvertently left a test plug in the fuel vent
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