Final Report of the Board of Inquiry Investigating the Circumstances of an Accident Involving the Air Canada Boeing 767 Aircraft C-GAUN that Effected an Emergency Landing at Gimli, Manitoba on the 23rd Day of July, 1983Government of Canada, 1985 - 199 Seiten 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. |
Inhalt
The Contributory Causes of the Accident | 35 |
Corporate Deficiencies | 59 |
Equipment Failures and Deficiencies | 95 |
Urheberrecht | |
8 weitere Abschnitte werden nicht angezeigt.
Häufige Begriffe und Wortgruppen
abnormal accident Air Canada Air Lines aircraft Airlines airplane amount attendants authority Aviation Safety blank Board Boeing British Airways calculations Captain Pearson channel circuit breaker cockpit communication concerned Control conversion corporate Counsel course dated dealing deviation Director discussed dispatch drip sticks Edmonton emergency Engineering entry evidence Exhibit fact factor failure figure fleet flight crew Flight Operations Flight Safety fuel gauges fuel load fuel processor fuel quantity fueller fuelling procedures Gimli accident ground incident indicated inoperative Inquiry involved July 23 kilograms landing letter List litres log book maintenance personnel Manager Manual matter measurement metric Montreal normal Operating Manual organization Ottawa Ouellet particular perform pilots problem processor question readings recommendation recording reference regarding relating responsibility result Review Safety Services situation specific standardization taken tank Technical testified Transport Canada United Volume Winnipeg