For many people in aviation today the events of Eastern Airlines Flight 855 are long forgotten, however, the memory does live on and on this fateful day many lives were saved thanks to the calm and professional approach of the pilots.
What happened?
On May 5, 1983, a Lockheed L-1011 TriStar, registration N334EA, en route from Miami International Airport to Nassau International Airport, experienced the loss of all three engines near Miami, Florida. Following a decision to return to Miami.
SofemaOnline reviews the errors specifically attributable to interaction with documentation in the production of task cards and other maintenance data.
Introduction
It is both understood and recognized that certain aircraft maintenance errors are strongly linked to the issue of documentation both related to its content as well as the lack of use/engagement.
Related to technical authorship the primary concern is that the technician may misunderstand the information/context and as a result use their own knowledge instead of seeking clarification of a potential anomaly.
Case Study (Based on Data gathered following investigation & workshops)
