AeroSafety WORLD INSPECTOR SCRUTINY ICAO auditors find faults IMPROVE BRAKING REPORTS Using what’s known CORPORATE FOQA FSF program moves out SICK CREWMEMBERS The go/don’t go decision TECHNICALLY SIMPLE MAINTENANCE ENGLISH MADE EASIER THEFlight JOURNAL Safety OF FFoundationLIGHT SAFETY FOUNDATION AUGUST 2007 What can you do to improve aviation safety? Join Flight Safety Foundation. Your organization on the FSF membership list and Internet site presents your commitment to safety to the world. • Receive AeroSafety World, a new magazine developed from decades of award-winning publications. • Receive discounts to attend well-established safety seminars for airline and corporate aviation managers. • Receive member-only mailings of special reports on important safety issues such as controlled flight into terrain (CFIT), approach-and-landing accidents, human factors, and fatigue countermeasures. • Receive discounts on Safety Services including operational safety audits. An independent, industry-supported, nonprofit organization for the exchange of safety information for more than 50 years Wright Flyer photo/source: U.S. National Aeronautics and Space Administration If your organization is interested in joining Flight Safety Foundation, we will be pleased to send you a free membership kit. Send your request to: Flight Safety Foundation 601 Madison Street, Suite 300, Alexandria, VA 22314 USA Telephone: +1 703.739.6700; Fax: +1 703.739.6708 E-mail: [email protected] Visit our Internet site at www.flightsafety.org PRESIDENT’sMEssaGE THE Bell Tolls ny man’s death diminishes me, be- shortage has hit Indonesia hard, and its body cause I am involved in mankind; count proves it. and therefore never send to know for How does a young democracy with more whom the bell tolls; it tolls for thee.” than 230 million people cope? So far, not very “— JohnA Donne, 1624 well. Structural reforms to deal with this growth Forgive me for resurrecting a famous old quote, are overdue. Inspector pay is a fraction of what but it kept coming to mind last month as I flew it needs to be to retain good people, and yet the back from a difficult trip to Indonesia. Anybody growth continues. The country’s highest-ranking following the aviation industry has been hearing officials know what to do, and they are committed the bells toll for Indonesia, where there have been to doing it. It will be painful, it will take time, and three major crashes in just the first half of 2007. Its it may not happen soon enough to avoid further 10-year accident rate is 3.1 per million departures, disasters, but it must succeed. at least triple the global accident rate. This is just an early battleground; the same Safety there has not been good for some dynamics linger below the surface throughout time, and it’s not getting better. The most recent Asia, Eastern Europe and elsewhere. If those of crash compelled the U.S. Federal Aviation Ad- us who have the answers ignore this problem, we ministration to review Indonesia’s status under are going to have front row seats when the bal- its International Aviation Safety Assessments loon goes up. Program. The agency found that Indonesia fell Our industry must find a better way to manage short of International Civil Aviation Organiza- itself. Investment bankers with wildly optimistic tion standards and downgraded the nation to cash-flow models are going to keep buying air- Category 2. The E.U. followed, blacklisting all planes and starting airlines. The aviation industry Indonesian airlines. needs to reach out to these emerging carriers and Just seven years ago, Indonesia had five airlines help them to see a way to profitability that follows that carried approximately 10 million passengers a path of safely managed growth. Governments in that year. In 2006, 25 airlines carried 30 million that have waited decades for prosperity are not passengers, a 200 percent increase in passenger inclined to say “no” to growth. They need good traffic in six years. The Indonesian government advice and positive reinforcement. Clearly, I see expects passenger traffic to reach 70 million by a role for the Foundation. When I call for help, I 2010. That rate of growth is almost unmanage- hope some of you will answer. able but it is low compared with other countries in the region. It gets worse. The airlines I spoke with in Indonesia have lost about 30 percent of their pilots to other regions of the world. The regula- tor has lost about 30 percent of its inspectors William R. Voss and has about half of the inspectors required President and CEO for today’s needs. The great aviation personnel Flight Safety Foundation WWW.FLIGHTSAFETY.ORG | AEROSAFETYWORLD | AUGUST 2007 | 1 AeroSafetyWORLD August2007 Vol 2 Issue 8 11 contents features 11 FlightOps | C-FOQA Takes Root 16 CoverStory | Simplifying the Technicalities 22 CabinSafety | Cabin Fever 27 FlightTech | Heating up in Paris 30 SafetyOversight | Inspector Scrutiny 36 InSight | Improving Braking Action Reports 41 FlightTech | A Moveable View 16 departments 22 1 President’sMessage | The Bell Tolls 5 EditorialPage | Growth and Consequences 6 SafetyCalendar | Industry Events 8 InBrief | Safety News 2 | FLIGHT SAFETY FOUNDATION | AEROSAFETYWORLD | AUGUST 2007 30 41 contents 36 AeroSafetyWORLD telephone: +1 703.739.6700 45 FoundationFocus | Members by Region William R. Voss, publisher, FSF president and CEO [email protected], ext. 108 50 DataLink | Cold Comfort in Accident Reports J.A. Donoghue, editor-in-chief, FSF director of publications 53 InfoScan | Decision Management [email protected], ext. 116 Mark Lacagnina, senior editor [email protected], ext. 114 57 OnRecord | In-flight Depressurization Wayne Rosenkrans, senior editor [email protected], ext. 115 Linda Werfelman, senior editor [email protected], ext. 122 Rick Darby, associate editor [email protected], ext. 113 Karen K. Ehrlich, web and print production coordinator [email protected], ext. 117 Ann L. Mullikin, production designer [email protected], ext. 120 Susan D. Reed, production specialist About the Cover [email protected], ext. 123 There are guidelines for making English easier to understand in maintenance documents. Patricia Setze, librarian © Chris Sorensen Photography [email protected], ext. 103 Editorial Advisory Board We Encourage Reprints (For permissions, go to <www.flightsafety.org/asw_home.html>) David North, EAB chairman, consultant Share Your Knowledge William R. 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Suggestions and opinions expressed in AeroSafety World are not necessarily endorsed by Flight Safety Foundation. Russell B. Rayman, M.D., executive director Nothing in these pages is intended to supersede operators’ or manufacturers’ policies, practices or requirements, or to supersede government regulations. Aerospace Medical Association www.FLIGHTSAFETY.ORG | AEROSAFETYWORLD | AUGUST 2007 | 3 Serving Aviation Safety Interests for More Than 50 Years OFFICERS AND STAFF light Safety Foundation is an international membership organization dedicated to Chairman, Board of Governors Amb. Edward W. the continuous improvement of aviation safety. Nonprofit and independent, the Stimpson Foundation was launched officially in 1947 in response to the aviation industry’s need President and CEO William R. Voss F Executive Vice President Robert H. Vandel for a neutral clearinghouse to disseminate objective safety information, and for a credible General Counsel and knowledgeable body that would identify threats to safety, analyze the problems and and Secretary Kenneth P. Quinn, Esq. recommend practical solutions to them. Since its beginning, the