Aerosafety World April 2008
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AeroSafety WORLD UNUSUAL AIRPORT PLANNING BURNED OUT DC-8 Operations off the beaten path UPS freighter fire BURNTHROUGH RAISING THE STANDARD Rules lengthen escape time Cabin safety symposium highlights SETTING LIMITS FATIGUE IN MAINTENANCE THE JOURNAL OF FLIGHT SAFETY FOUNDATION APRIL 2008 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 Flyer photo/source: U.S. National Aeronautics and Space Administration Wright 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 BEYOND Competition ast month, Flight Safety Foundation an- only organization positioned to reach across all nounced a partnership with the Interna- segments of the professional aviation industry. tional Air Transport Association (IATA) The shortage of qualified personnel must be on its personnel training and qualification addressed in a systematic way that meets the Linitiative. Since then, I have been asked how and needs of the whole industry. For the next 10 why the Foundation would get involved in the years, a new business jet will be delivered for difficult issues involved in the looming global every airliner produced, and each will create its shortage of qualified personnel. own demand for qualified operators. First, it is important that the problem be ad- If regional carriers run out of people, smaller dressed from a safety and quality perspective, communities will lose service. If the major pilot and not just from a commercial or competitive training centers run out of instructors, there standpoint which, at its most basic level, is just will be pilot supply problems around the world. making sure the other guy runs out of pilots first. If government regulators can’t retain qualified That is not the right answer for our industry or the inspectors, no one will be left to safeguard in- people we serve. The Foundation wants to keep the dustry growth. focus on the innovations and safety improvements You can bring this problem closer to home: If that the industry will have to deliver on its way to you fall ill in the Australian outback, you expect doubling in size over the next 20 years. that an experienced pilot will be there to fly you But while we begin to act on future challenges, to the hospital. If my child is in an accident, I we can’t lose focus on what is happening today. hope a talented pilot is there to fly her to the Last year, for the first time in decades, loss-of- trauma center. control accidents surpassed controlled flight into The point is simple. It is time to drop our com- terrain as the number one killer in aviation. Did petitive instincts and look for solutions that work growth pressures, lowered qualifications for hir- for everybody. IATA and the Foundation have ing, or changes in crew interactions have some- started working on this together with the hope thing to do with that? I don’t know, but I am sure that others will join in. Maybe if we take this on the question cannot be ignored. together, we will start looking like an industry that This industry spent decades implementing young people once again will want to join. crew resource management. The resulting safety gains could dissipate quickly if communication in the cockpit falls apart because of generational gaps, culture gaps or knowledge gaps. I expect a number of accident reports during the coming 12 months will make us think hard about that. One last reason that the Foundation is get- William R. Voss ting in the middle of this problem is that it President and CEO touches every part of the industry. We are the Flight Safety Foundation WWW.FLIGHTSAFETY.ORG | AEROSAFETYWORLD | APRIL 2008 | 1 AeroSafetyWORLD 14contents April2008 Vol 3 Issue 4 features 14 CoverStory | Working to the Limit 20 FlightTech | Singapore’s New Show 22 FlightOps | VFR in the Himalayas 22 28 CausalFactors | Fire in the Hold 34 ThreatAnalysis | Departure Deviations 37 FlightTech | Burnthrough Protection 42 InSight | Flawed Report 44 CabinSafety | Winning Formula 28 departments 1 President’sMessage | Beyond Competition 5 EditorialPage | Protecting Confidentially 6 AirMail | Letters From Our Readers 7 SafetyCalendar | Industry Events 9 InBrief | Safety News 2 | FLIGHT SAFETY FOUNDATION | AEROSAFETYWORLD | APRIL 2008 37 42 34 AeroSafetyWORLD telephone: +1 703.739.6700 19 FoundationFocus | Honored in Singapore William R. Voss, publisher, FSF president and CEO [email protected], ext. 108 27 | Call for Nominations FoundationFocus J.A. Donoghue, editor-in-chief, FSF director of publications 49 DataLink | Maintenance Check [email protected], ext. 116 Mark Lacagnina, senior editor [email protected], ext. 114 53 InfoScan | Culture Shock Wayne Rosenkrans, senior editor [email protected], ext. 115 57 OnRecord | Bogus Stall Warning Linda Werfelman, senior editor [email protected], ext. 122 Rick Darby, associate editor [email protected], ext. 113 AeroSafety Karen K. Ehrlich, web and print W O RLD production coordinator [email protected], ext. 117 Ann L. Mullikin, art director and designer [email protected], ext. 120 Susan D. Reed, production specialist UNUSUAL AIRPORT PLANNING Operations o the beaten path UPS freighter re RAISING THE STANDARD [email protected], ext. 123 Rules lengthen escape time Cabin safety conference highlights About the Cover SETTING LIMITS Patricia Setze, librarian FATIGUE IN MAINTENANCE Work limits seek to reduce maintenance errors. THE JOURNAL OF FLIGHT SAFETY FOUNDATION APRIL 2008 Photo Illustration: © 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. Voss, president and CEO If you have an article proposal, manuscript or technical paper that you believe would make a useful contribution to the ongoing dialogue about aviation safety, we will be Flight Safety Foundation glad to consider it. Send it to Director of Publications J.A. Donoghue, 601 Madison St., Suite 300, Alexandria, VA 22314-1756 USA or [email protected]. The publications staff reserves the right to edit all submissions for publication. Copyright must be transferred to the Foundation for a contribution to be published, and J.A. Donoghue, EAB executive secretary payment is made to the author upon publication. Flight Safety Foundation Sales Contacts J. Randolph Babbitt, president and CEO Europe, Central USA, Latin America Asia Pacific, Western USA Eclat Consulting Joan Daly, [email protected], tel. +1.703.983.5907 Pat Walker, [email protected], tel. +1.415.387.7593 Steven J. Brown, senior vice president–operations Northeast USA and Canada Regional Advertising Manager National Business Aviation Association Tony Calamaro, [email protected], tel. +1.610.449.3490 Arlene Braithwaite, [email protected], tel. +1.410.772.0820 Subscriptions: Subscribe to AeroSafety World and become an individual member of Flight Safety Foundation. One year subscription for 12 issues Barry Eccleston, president and CEO includes postage and handling — US$350. Special Introductory Rate — $280. Single issues are available for $30 for members, $45 for nonmembers. Airbus North America For more information, please contact the membership department, Flight Safety Foundation, 601 Madison Street, Suite 300, Alexandria, VA 22314-1756 USA, Don Phillips, freelance transportation +1 703.739.6700 or [email protected]. reporter AeroSafety World © Copyright 2008 by Flight Safety Foundation Inc. All rights reserved. ISSN 1934-4015 (print)/ ISSN 1937-0830 (digital). Published 12 times a year. 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 | APRIL 2008 | 3 EDITORIALPAGE PROTECTING Confidentially he problem with trying to explain accident in Lexington, Kentucky, U.S. lawyers access to information about the things that we do in the avia- (ASW, 11/07, p.38). hundreds of incidents, misunderstand- tion industry is that many levels Various aviation groups tried to ex- ings and close calls will result in anything of information usually need to be plain why violating the confidentiality positive. How can an airline’s handling Tknown before understanding