In Part I brief particulars of the accident, the crew and the aircraft are set out. The establishment of the Board of Inquiry and the procedure followed by it are detailed. In Part II the factual circumstances of the accident are detailed. Part III looks at the contributory causes of the accident (human factors and error, corporate deficiencies, the implications of a metric aircraft in a non-metric fleet, equipment factors). In Part IV summaries of evidence from other airlines in Canada, the U.S. and Europe is given. Part V sets out aviation safety recommendations, particularly regarding the metric question on fuelling procedures, equipment improvement, improvements to the Minimum Equipment List, corporate structures and training.

Safety management and human factors disciplines are often regarded as subjective and nebulous. This perhaps stems from a variety of, sometimes disparate, activities in the realms of education, industry and research. Aviation is one of the safety-critical industries that has led the development of safety systems and human factors. However, in recent years, safety management and human factors are seen to be progressing well in the road, rail and the medical arena. Multimodal Safety Management and Human Factors is a wide-ranging compendium of contemporary approaches in the aviation, road, rail and medical domains. It brings together 28 chapters from both the academic and professional worlds that focus on applications, tools and strategies in safety management and human factors. It is a wellspring of the practical rather than the theoretical. Safety scientists, human factors industry practitioners, change management advocates, educators and students will find this book extremely relevant and challenging.

A compelling exploration of how social norms and commercial culture impact the safety of organizational operations In Impact of Societal Norms on Safety, Health, and the Environment: Case Studies in Society and Safety Culture, distinguished engineer Dr. Lee T. Ostrom delivers an authoritative treatment of the cultural, social, and human factors of safety cultures and issues in the workplace. The book offers readers compelling discussions of how those factors impact organizational operations and what contributes to making those impacts beneficial or detrimental. The author provides numerous real-world case studies from North America and Europe that are relevant to a global audience, highlighting the central message of the book: that an organization that views its safety culture as unimportant could be setting itself up for a significant workplace accident. Readers will also find: A thorough introduction to social norms that impact how commercial organizations treat issues of safety and workplace health In-depth safety culture case studies from North America and Europe Comprehensive explorations of how peoples’ perceptions of hazards impact workplace operations and the daily lives of employees Fulsome discussions of the effect of societal attitudes on workplace health and safety Perfect for industrial and safety managers, safety coordinators, and safety representatives, Impact of Societal Norms on Safety, Health, and the Environment will also earn a place in the libraries of industrial hygienists, ergonomic program coordinators, and HR professionals.

Air safety is right now at a point where the chances of being killed in an aviation accident are far lower than the chances to winning a jackpot in any of the major lotteries. However, keeping or improving that performance level requires a critical analysis of some events that, despite scarce, point to structural failures in the learning process. The effect of these failures could increase soon if there is not a clear and right development path. This book tries to identify what is wrong, why there are things to fix, and some human factors principles to keep in aircraft design and operations. Features Shows, through different events, how the system learns through technology, practices, and regulations and the pitfalls of that learning process Discusses the use of information technology in safety-critical environments and why procedural knowledge is not enough Presents air safety management as a successful process, but at the same time, failures coming from technological and organizational features are shown Offers ways to improve from the human factors side by getting the right lessons from recent events

This book presents various skills to help surgeons improve their day-to-day performance and development including professionalism, communication, situation awareness, decision making, leadership, and technical dexterity. It also offers advice on how to organise a surgical theatre list, improve theatre efficiency, prepare for surgical interviews and participate in surgical research and audit. Furthermore, it emphasises the need to strive for safety in surgery and to learn from things going wrong. The complex world of emotions that surgeons may encounter is also discussed. The guidance presented here may be of value to any aspiring surgeon, whatever their surgical specialty, and wherever they choose to practise. The skills highlighted in this book reflect the author's initial experiences as a surgical trainee, the teachings of his senior trainers, as well as his subsequent involvement in supervising multiple junior surgeons as a Consultant in Trauma and Orthopaedics. Much of the material presented is supported by an extensive literature review. This book complements the previously published book "Career Skills for Doctors" by the same author.

"An index and document delivery service for Canadian report literature".

Airworthiness, as a field, encompasses the technical and non-technical activities required to design, certify, produce, maintain, and safely operate an aircraft throughout its lifespan. The evolving technology, science, and engineering methods and, most importantly, aviation regulation, offer new opportunities and create, new challenges for the aviation industry. This book assembles review and research articles across a variety of topics in the field of airworthiness: aircraft maintenance, safety management, human factors, cost analysis, structures, risk assessment, unmanned aerial vehicles and regulations. This selection of papers informs the industry practitioners and researchers on important issues.

This fascinating story explains how aviation crashes are investigated, and what goes on behind the scenes to improve safety. It is also the untold saga of how one maverick scientist battled the bureaucracy to save lives. Federal officials hired him to prevent an anticipated bloodbath from airline deregulation. He soon introduced innovations, such as Crew Resource Management training, which dramatically reduced airline accidents. However, when he dared expose lies to Congress, officials used the sky marshals to harass him. They then ignored his other programs, which contributed to countless unnecessary deaths -- including JFK Junior's. Becoming a military safety guru, his important tasks included training Air Force One crews, and going undercover to discover why a mysterious Soviet airliner crash killed an African president. But he was fired for blowing the whistle on the Pentagon cover-up of the worst fratricide since Vietnam. Congress and other important organizations have often sought his advice on civil and military aviation problems.