Risk Management of Technology and Maintenance Failures in...

Risk Management of Technology and Maintenance Failures in the Context of Aviation Industry Individual Assignment Managing Processes, Systems, and Projects Elective Pathway: Managing the Project-based Environment Balazs B. Varga EFT11 Date: 06/02/2012 Student id: 19700989 Word Count: 1705 Table of Contents Introduction 3 Incident root cause failure analysis 3 A. Aircraft aging and the limitations of fail-safe design 3 B. Safety by design and the failure of damage tolerance 3 C. Human errors and organizational failures 4 Recommendations 4 Reflections 5 Works Cited 7 Appendix 8 Introduction On April 28, 1988, Aloha Airlines flight 243 underwent an explosive decompression in its passenger cabin at feet 24,000. Although the†¦show more content†¦Although Aloha followed the manufacturers advised general Maintenance Planning Programme, its management did not implement the specific SBs. Consequently, during the standard inspection activities sporadic cracks and first signs of panel bond disintegration were not identified within the safe crack growth period. It has been debated whether the standard maintenance programme (including four level of Checks, A-B-C-D, at different level of inspection detail and frequency) could have revealed the specific failures in question. The answer is negative: Aloha`s on-ground-examinations were made mainly during night, with limited visual inspection conditions and alertness to identify sporadic rivet cracks. (National Transportation Safety Board, 1989) In sum, the aircraft damage tolerance had become seriously limited which resulted in the catastrophic wear-out failure. C. Human errors and organizational failures As highlighted before, the investigation identified several types of human failures, including inspection errors and violations of operational procedures. According to Hobbs, maintenance management is critical to ensure aviation safety, and improper maintenance contributes as primary cause to a significant (7-14 %) proportion of aviation accidents and incidents. (Hobbs, 2008) However, individual failures in maintenance activities are usually not the root-causes of failures but affected by the workShow MoreRelatedSafety Management Systems In The Aviation Industry11572 Words   |  47 PagesTopic Learning Guide Aviation Safety Systems TOPIC 2 SAFETY MANAGEMENT SYSTEMS Safety Management Systems in the Aviation Industry Introduction This topic area covers the second and third sessions. 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