JULY–SEPTEMBER 2009 Meet The 2009 ‘Kapustin’ Scholars (Page 3) Why Do Emergency Evacuation Slides Fail? (Page 8) Accident Investigation—A Complete Service? (Page 13) Cockpit ‘Conversations’: Pilot Error or Communications Failure (Page 18) Council Meets in Spring Session (Page 22) CONTENTS Volume 42, Number 3 FEATURES Publisher Frank Del Gandio Editorial Advisor Richard B. Stone 3 Meet The 2009 ‘Kapustin’ Scholars Editor Esperison Martinez Incorporated into “President’s View” are the three 1000-word essays selected Design Editor William A. Ford as the best of the 12 submitted in the competition to win the 2009 ISASI Rudolph Associate Editor Susan Fager Kapustin Memorial Scholarship award, which memorializes all ISASI members Annual Report Editor Ron Schleede who have “flown west.” ISASI Forum (ISSN 1088-8128) is pub- lished quarterly by International Society of Air Safety Investigators. Opinions ex- 8 Why Do Emergency Evacuation Slides Fail? pressed by authors do not necessarily rep- By Gerard van Es, Senior Consultant, NLR-Air Transport Safety Institute, resent official ISASI position or policy. Amsterdam, the Netherlands—The author presents an analysis of historical Editorial Offices: Park Center, 107 East emergency evacuations in which slides were used. The factors that have hampered Holly Avenue, Suite 11, Sterling, VA 20164- the use of emergency evacuation slides are identified from these data and are 5405. Telephone (703) 430-9668. Fax (703) analyzed in-depth. 430-4970. E-mail address isasi@erols. com; for editor,
[email protected]. Internet website: www.isasi.org. ISASI Forum is not responsible for unsolicited 13 Accident Investigation—A Complete Service? manuscripts, photographs, or other ma- By Phil Taylor, Senior Inspector of Air Accidents, UK AAIB—Using examples from terials.