{"id":7624,"date":"2024-03-23T09:00:50","date_gmt":"2024-03-23T01:00:50","guid":{"rendered":"https:\/\/tommykwan.com\/blog\/?p=7624"},"modified":"2024-03-23T09:00:50","modified_gmt":"2024-03-23T01:00:50","slug":"learn-from-mistake-american-airlines-flight-965","status":"publish","type":"post","link":"https:\/\/tommykwan.com\/blog\/aviation\/learn-from-mistake-american-airlines-flight-965\/","title":{"rendered":"Learn from mistake: American Airlines Flight 965"},"content":{"rendered":"<div class=\"embed-container\"><iframe loading=\"lazy\" title=\"Tech Fail or Human Error? American Airlines Flight 965 Vanished in Darkness! | Mayday: Air Disaster\" width=\"1170\" height=\"658\" src=\"https:\/\/www.youtube.com\/embed\/dbIeaGqgtd0?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen><\/iframe><\/div>\n<p>Swiss cheese model &#8211; \u7206\u7a6b\u543e\u6703\u53ea\u4fc2\u8870\u4e00\u6a23 &#8230; The Swiss cheese model is not uncommon to be used to explain accident causation. Many layers of defense are set, it seems to be a swiss cheese. However, the inner layers of a swiss have holes. What if an imagine line can be form by connecting all holes,\u00a0 the accident is likely occur (or it is the reason why accident happen).<\/p>\n<p>The AA965 taught me something &#8211; this documentary reminds me:<\/p>\n<ul>\n<li>\u505aOPS \u5343\u842c\u4e0d\u8981\u6709\u6025\u65e2\u5fc3\u614b&#8230;\u5b89\u5168\u662f\u6700\u91cd\u8981, \u4f46\u4e0d\u662f\u53e3\u865f, \u8981\u505a\u51fa\u9ece<br \/>\n\u7279\u5225\u662f\u6709\u6642\u9593\u58d3\u529b\u6642\u66f4\u52a0\u8981\u63d0\u81ea\u5df1&#8230;Haste makes waste (\u6b32\u901f\u5247\u4e0d\u9054)<\/li>\n<li>Communication errors &#8211; misunderstanding, bias, subjective willingness<br \/>\n\u6709\u554f\u984c\u5c31\u4e00\u5b9a\u8981Clarify&#8230;\u7279\u5225\u662f\u96de\u540c\u9d28\u8b1b\u6216\u8005\u4eba\u5730\u518d\u4e09\u63d0\u554f&#8230;<br \/>\nAA965\u5c31\u662f\u9019\u6a23\u60a8\u4ee5\u70ba\u662fA, \u6211\u4ee5\u70ba\u662fB&#8230;\u5c31\u5481\u5c31\u649e\u5de6<\/li>\n<li>Environment and Knowledge factors &#8211; \u5462\u55ae\u91ce\u672c\u8eab\u5c31\u662f\u4fc2Operational \u74b0\u5883\u6709\u300c\u5fae\u5c0f\u8f49\u8b8a\u300d,\u00a0 \u518d\u52a0\u57cb\u543e\u77e5\u500b\u6a5f\u5e2b\u65e2\u77e5\u8b58\u662f\u5426\u8db3\u5920&#8230;\u5c31\u5f15\u8d77\u5462\u58c7\u91ce&#8230;\u6240\u4ee5&#8230;\u9ede\u89e3\u6211\u5730\u8981\u7747 NOTAM, \u540c\u57cb\u8981\u4e0d\u65b7\u5b78\u7fd2&#8230;\u5982\u679c\u4f62\u77e5\u9053\u7121\u5de6\u96f7\u9054\u6703\u4ee4ATC \u4e0d\u77e5\u4f62\u4fc2\u908a&#8230;\u4f62\u6703\u9019\u6a23\u55ce?<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Keep learning\u00a0 a good pilot is always keeping learning!<\/strong> (\u597d\u4f3c\u4fc2Captain Joe \u540d\u8a00!)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Swiss cheese model &#8211; \u7206\u7a6b\u543e\u6703\u53ea\u4fc2\u8870\u4e00\u6a23 &#8230; The Swiss cheese model is not uncommon to be used to explain accident causation. Many layers of defense are set, it seems to be a swiss cheese. However, the inner layers of a swiss have holes. What if an imagine line can be form by connecting all holes,\u00a0 the<a class=\"read-more \" href=\"https:\/\/tommykwan.com\/blog\/aviation\/learn-from-mistake-american-airlines-flight-965\/\" title=\"Read More\"> <span class=\"button default\">Read More<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[64,67],"tags":[],"class_list":["post-7624","post","type-post","status-publish","format-standard","hentry","category-aviation","category-learn-from-aviation-accident"],"_links":{"self":[{"href":"https:\/\/tommykwan.com\/blog\/wp-json\/wp\/v2\/posts\/7624","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tommykwan.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tommykwan.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tommykwan.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/tommykwan.com\/blog\/wp-json\/wp\/v2\/comments?post=7624"}],"version-history":[{"count":1,"href":"https:\/\/tommykwan.com\/blog\/wp-json\/wp\/v2\/posts\/7624\/revisions"}],"predecessor-version":[{"id":7625,"href":"https:\/\/tommykwan.com\/blog\/wp-json\/wp\/v2\/posts\/7624\/revisions\/7625"}],"wp:attachment":[{"href":"https:\/\/tommykwan.com\/blog\/wp-json\/wp\/v2\/media?parent=7624"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tommykwan.com\/blog\/wp-json\/wp\/v2\/categories?post=7624"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tommykwan.com\/blog\/wp-json\/wp\/v2\/tags?post=7624"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}