Swiss Cheese Slices

Swiss Cheese Slices

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Let’s look at where a different decision could have changed the outcome of this accident.

  1. Organisational oversight could have been better.
  2. The plan was faulty, maximum rate turns at low level are not part of any syllabus.
  3. Maximum rate turns were contrary to the lesson objective, which involved slowing to reduce turn radius and create more time to assess rather than react.
  4. The mentoring of less experienced pilots was not as effective as it should have been.
  5. Youthful enthusiasm – young instructors want to make the flying experiences of their students relevant, but without effective mentoring it can lead to limits being exceeded.