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, 1983

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Government 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.

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Inhalt

The Contributory Causes of the Accident
35
Corporate Deficiencies
59
Equipment Failures and Deficiencies
95
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