On 12 July 1890, in Eastleigh, England, the London & South Western Railway had a collision that resulted in one fatality. A light engine ran some stop signals at North Junction and then crashed into the rear of a freight train. The accident report cited the cause as the engine driver and stoker failing to “keep a proper look-out”. Pilot …
Tag: normal accident
Reasonable Rational Individuals
“Most accidents originate in actions committed by reasonable, rational individuals who were acting to achieve an assigned task in what they perceived to be a responsible and professional manner. They have probably committed these same unsafe acts before without negative consequences because the existing conditions at the time did not favour an interaction of the flawed decisions or deficiences present …
Chair Flying
Basic Appliances
This Calvin cartoon is from 1992. I don’t think modern computers and 25 years of human factors research have changed the punch line. Thank goodness for skilled pilots!
Why Would a Ship Sail into a Hurricane?
This time last year the American ship SS El Faro went down in a hurricane with the loss of all thirty-three crew (Wikipedia page). It seems impossible ‘in this day and age’ that such a thing could happen. It wasn’t a mechanical issue, or a rogue crew, or pirates, or a freak storm. The Washington Post reported one of the …
It’s No Accident — It’s a Crash
Interesting article yesterday in the New York Times, titled ‘It’s no accident: Advocates want to speak of car ‘crashes’ instead’. It’s about safety advocates changing language use from a car accident to a car crash. The AP recently revised their style guide. Dr Rosekind of the US National Highway Traffic Safety Administration is on board, saying, “When you use the …
Airmanship at a Distance
This is a sad story. But important to think about. For we are all our brother’s keeper. The news headline this weekend was ‘Flight school sued over death of student‘. Fox5 reported: A 21-year-old’s dream of becoming a pilot was cut short when during flight school his plane came crashing down, killing him, according to a lawsuit filed Friday in …
Procedural Drift and the Sandbar
On 3 January 2015, the large ship MV Hoegh Osaka left the British port of Southhampton. An hour later she made a turn to port, then began listing markedly to one side. Soon enough the rudder and propellor were out the water. In flying terms, ‘departure from controlled float’ we could say. Fifteen minutes after the turn she was grounded on the …
Airport Worker Killed in “Freak Accident”
The Daily Express newspaper reports today that an airport worker was killed in a “freak accident.” He was sucked into a jet engine. Or as human factors professionals calls it, a “normal accident”. An Air India official told The Hindustan Times: At the moment, we are absolutely clueless on how this person was near the aircraft. Only an inquiry can establish whose …
Blame the Pilots?
Air Force Times article from two days ago sums up the results of a six-week investigation of the October 3rd bombing of a Doctors Without Borders hospital in Afghanistan that killed 30 people – Crew Blamed. However the news story also notes deeper systematic issues, a culture that places pilots into impossible situations. But you can’t discipline a procedure or …