The 2012 crash of Convair N153JR is a text book example of how human error and the absence of crew resource management can result in the unnecessary loss of life. This accident involves a transport company named Fresh Air Inc. that transported cargo between the Caribbean islands using vintage 1953 Convair aircraft. The co-owner of the company, who was also the primary pilot, established and nurtured an environment of relaxed rules and desultory aviation operations. The primary pilot consistently flew the Convair aircraft outside its operational parameters by disabling key aircraft systems needed for safe operations. Additionally, the captain filled Fresh Air with incompetent personnel that could not maintain safe and airworthy operations. To further exacerbate an already dangerous situation, assigned Federal Aviation Administration (FAA) inspectors were derelict in their duties and performed only superficial inspections on the company. Numerous and serious violations were overlooked by the inspectors and this removed the last remaining barrier for accident prevention. The captain’s insouciant approach to flying and company operations coupled with inept FAA oversight directly led to the crash of Convair N153JR. Accident Overview On March 15th 2012 at 7:35 a.m. Atlantic Standard Time (AST), a Convair 440-38 aircraft, identification number N153JR, lifted off from runway 10 at Luis Muñoz Marín International Airport, San Juan, Puerto Rico. The aircraft was laden with over
This paper reviews the tragic mid-air crash of PSA flight 182 and Cessna N7711G a Cessna 172 over San Diego and its resulting FAA rules and regulation changes, and their affect on the U.S. aviation industry. PSA Flight 182’s mid-air resulted in the most sweeping FAA changes to airspace to date. The FAA rules and regulation changes was a success in preventing similar mid-airs of this type.
During the Challenger Space Shuttle Disaster, many professional responsibilities were neglected. First, engineers did not “hold paramount the safety, health, and welfare of the public” (Ethics Code II. 1. a.). For example, although the ice inspection team found the launch situation to be of great concern, the launch director authorized it anyway (Texas A&M University 5). At this point, professional bodies or public authorities should have been notified.
On June 1st, 1999 American Airlines flight 1420 experienced a tragic accident that claimed many lives and made an impact on aviation worldwide. The event and it subsequent investigation shed
Then on the next page, Carl Hoffman talks about aviation's disaster, including Air Flight KI-574, which was disappeared with 102 passengers. I have heard about that incident, and this was the huge problem for the people who was in
Airplanes are considered the safest way to travel with the odds of crashing being one in every 1.2 million flights. Flight is a movie based off of the Alaskan Airlines Flight 261 incident that occurred on January 21st, 2000 on route from Puerto Vallarta, Mexico to Seattle, Washington which crashed into the Pacific Ocean killing two pilots, three cabin crewmembers and eighty-three passengers. (Goodman & Priscilla Pg. 1) However, in Flight SouthJet Flight 227 on route from Orlando, Florida to Atlanta, Georgia has a different outcome with only six deaths out of 102 persons two of which were cabin crewmembers and four passengers. According to the National Transport Safety Board (NTSB)
McDonnell Douglas didn’t look at the situation in an ethical manner, they were thinking, how can I make my money for the company and satisfy shareholders. He did not look at, would this be good for the customers and the workers who will be on the plane as well. Ultimately what McDonnell Douglas is similar to what any serial killer or serial rapist does to its victims, they dehumanize them, they think that everyday humans similar to what most humans think of a spider or an any other bug, as a dispensable organism that neither propels or descends their life based upon the death of that organism. This synopsis is seen by the everyday business transaction because how they habitually disregard human dignity and their unethical business practice. One may say that McDonnell Douglas never knew what human dignity was and how it is intertwined with everyday societal matters, and how it shapes and molds our personal communities, and the business communities. McDonnell Douglas would be able to obtain a grave amount of personal growth if they had read the following definitions and meditated on them.
While root cause analysis of both sentinel events revealed mechanical and debris problems as causative factors, the underlying problem was much worse—NASA’s lax safety oversight and slipshod management. These findings uncovered what dozens, and likely lucky, successful missions had hid from the public. The country mourned the first tragedy, but demanded change, which made the loss of Columbia for similar reasons so stunning. Therefore, much of this paper concentrated on change resistance, as the inability to change organizations is usually attributed to the difficulties in changing people. Despite the distractions, leadership must push through this resistance or risk irrelevance in the marketplace. It is for good reasons, organizations use the lessons of the Challenger and Columbia disasters in all levels of leadership as a warning of the potential for harm when budget constraints, tight schedules, and deadlines allow flawed reasoning and egos to undermine safety and the decision-making
Unfortunately, crashes and crises aren’t a new things in today 's world. Far too often we have car crashes, boats sinking, car explosions, or bus crashes. Not too often do you hear about plane crashes, however, when you do it is fatal. One truly amazing plane crash involved two amazing pilots, birds, and one miracle landing on the Hudson.
Administrators like Larry Mulloy that had been routinely writing waivers to cover problems. I would also blame Thiokol management for folding under presser and overruling its concerned engineers. Also, NASA management for pressuring its subcontractors and obsessing so much with the need to fly that they ignored safety.
Jim McGee and George Phalen were like oil and water that Just doesn’t mix well together. Jim was an individual who wanted to help the company grow to become one of the largest airplane manufactures for equipment but by doing it the ethical way. This meant following the FAA procedures and guidelines, trying to fix the flaws within the company and treating people like he would like to be treated. Unfortunately, George Phalen was the total opposite of Jim who was selfish, self-centered and he didn’t believe in quality but more so with the making a profit. George didn’t care if he had to sacrifice other’s happiness by yelling or firing them to get what he wanted. It was evident that these two didn't work well together which was exemplified in the
In 2009 an F/A-18 crash landed in a San Diego neighborhood and killed four family members. The investigation found that the main cause of the crash was due to poor maintenance and the pilots lack of experience in that aircraft. I know this is not exactly an airline I am talking about but, to me it seems pretty relevant, given the fact even airlines need maintenance done on their planes. I feel that the safety checks that the maintenance officer needed to do that day on that aircraft were overlooked. Apparently according to the article, the fuel flow to the left engine had been overlooked and bypassed for some time before the crash happened. The reason that they cut corners could have been a number of things, they could have been tired that
Crew resource management started with a National Transportation Safety Board (NTSB), proposal made amid their investigation of the United Airlines Flight 173 accident. In 1978, over Portland, Oregon where this aircraft and crew ran out of fuel while the captain was trying to fix landing gear problem and ignored repeated hints of other crew members telling them that they are dwindling fuel supply. Only when the engines began to flame out the captain realized their horrible situation. Bad communication and loss of situational awareness led them to crash over six miles short of the runway, killing approximately 200 passengers. CRM was born from this catastrophe because investigators discovered that most of air crashes was caused by human error
ValuJet 592 was a tragic accident that occurred in May 1996 when the plane crashed in a fiery inferno in the Florida Everglades, only minutes after taking off from Miami. The investigation report published by the National Transportation Safety Board (NTSB) ruled the cause of the fire as two oxygen generators igniting in the forward hold of the plane, but identified many emergent behaviors that changed the business environment and contributed to the final outcome. This discovery unearthed errors made among the system units-ValuJet, Federal Aviation Agency (FAA), and SabreTech- that lead to this system failure (Langewiesche, 1998). Following will be an analysis of the various system units and how their strategic business decisions contributed, and ultimately led, to this horrific accident.
When many people think of aircraft investigations, they think of a large-scale airliner crash. While these types of accidents get more airtime on the television circuit, the majority of accidents occur within the general aviation community. One of the most notorious of these general aviation accidents was the accident of John F. Kennedy, Jr. His notoriety as the son of a President of the United States gave a special spotlight to this particular aircraft investigation.
Since the establishment of the International Civil Aviation Organization (ICAO) in 1944 and the United States (U.S.) National Transportation Safety Board (NTSB) in 1967, safety of the flying public has been a top priority. To maintain safety, the ICAO member states and NTSB promulgate regulations and guidelines for aviation safety, and investigate aviation accidents separately from other civil or governmental agencies. However, a troubling trend has developed in ICAO member states of Brazil, France, Greece, Indonesia, Spain, and Turkey, where criminal investigations of commercial aviation accidents have run parallel or obstructed an aviation safety investigation (See Appendix A for specific information on aviation accidents in these ICAO states).