[ventus45]

Tail Strike - Qantas 737-838 (VH-VZR)
          1st August 2014 - YSSY

https://www.atsb.gov.au/media/5727742/ao..._final.pdf

ATSB:
Human Error - it happens - it is inevitable - crew must try harder not to make mistakes.

Matthew Squair:
"So how warranted is the ATSB’s narrative ?
Well my conclusion is that their focus is too narrow and as the counter narrative shows there are broader system level issues that they fail to address.
Consequently their conclusion as to the inadequacy of the FCOM procedure needs to be broadened to encompass the more general need for robust exception handling procedures.
They also overly focus on error recovery ignoring opportunities for error elimination at source, through the design of the systems interfaces.
Sometimes trying harder is not the required response, sometimes we actually have to change."

http://criticaluncertainties.com/2015/11...tribution/

Change ? !

ATSB ?
CASA ?

Cue Thesis:  "on the aerodynamics of oinkers ....... "



                            ATSB                        CASA