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Aviation
On January 13, 1982, an Air Florida operated Boeing 737 crashed. Flight 90, with call-in nickname Palm 90, was schedule to fly from Washington, D.C. To Fort Lauderdale via Tampa. The flight crashed seconds after takeoff, just a mile from the Washington National Airport (Kaye, 2009). The Palm 90 disaster was the "the first major airline accident attributed to organizational factors," (Ciavarelli, 2007, p. 1). Some of the potential causes of the disaster are attributed to organizational factors such as Air Florida being an "upstart airline" that was willing to "cut corners," (cited by Kaye, 2009). A "poor decision chain" that included inadequate staff training, errors in judgment, "inappropriate procedures," and communication breakdowns were the primary factors in the accident (Ciavarelli, 2007, p. 2).
Weather was an intervening factor, but it was human error that caused the crash itself. At the time of scheduled departure, there was a blizzard in the area that was severe enough to shut down local schools. In fact, "The airport was closed for most of the day due to the severe...
1). If robust safety procedures had been followed, the Palm 90 disaster could have been averted.
Pilot error was a major reason for the Palm 90 disaster. "Instead of leaving the cockpit to make a visual inspection, Capt. Larry Wheaton relied on an employee stationed inside the terminal to glance at the plane" to check for potential weather-related problems such as ice on the wing (Kaye, 2009). Furthermore, the pilot and co-pilot both neglected to turn on the anti-ice mechanism "that would have thawed the engines and ensured proper power readings on their cockpit instruments," (Kaye, 2009). Furthermore, Boeing had published air safety bulletins that specifically warned pilots about snow and ice on the wings; either the pilots never received the bulletins or chose to ignore them (Ciavarelli, 2007). The National Air Disaster Alliance also claimed that the pilot was inexperienced (Kaye, 2009).
Part Two
The Loss Causation Model is one developed by Bird and Germaine (cited by OHS Body of…
References
Ciavarelli, A.P. (2007). Safety climate and risk culture: How does your organization measure up? Retrieved online: http://www.faa.gov/about/safety_efficiency/sms/resources/documents/safety_climate_and_risk_culture.pdf
"Civil Aviation Disasters," (n.d.). Retrieved online: http://www.pilotfriend.com/disasters/crash/airflorida90.htm
Kaye, K. (2009). Air Florida disaster still chilling 27 years later. Sun Sentinel.com. 10 Jan 2009. Retrieved online: http://weblogs.sun-sentinel.com/news/weather/hurricane/blog/2009/01/air_florida_disaster_27_years.html
OHS Body of Knowledge (2012). Models of Causation: Safety. Retrieved online: http://www.ohsbok.org/downloads/32%20Models%20of%20Causation%20Safety.pdf
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