A CASE STUDY "To Kill a Whopping Bird"

Jun 21st, 2015
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Alabama State University
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This Department of National Defense case study is not based on an actual event but the chain of events are all too possible to occur. There are a lot of links which could have been broken along the line and prevented the accident from occurring. You will see some Safety nets, designed to prevent the accident, shot full of holes in the name of expediency. Watch for the broken Safety nets as they are links. Finally determine what new Safety nets are needed and how to repair some of the existing ones

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Human Performance in MaintenanceA CASE STUDY"To Kill a Whopping Bird"This Department of National Defense case study is not based on an actual event but the chain of events are all too possible to occur.There are a lot of links which could have been broken along the line and prevented the accident from occurring. You will see some Safety nets, designed to prevent the accident, shot full of holes in the name of expediency. Watch for the broken Safety nets as they are links.Finally determine what new Safety nets are needed and how to repair some of the existing onesWe must learn from the mistakes of others,as well never live long enough to make them all ourselvesTo Kill a Whopping BirdThe SceneIt was an early Friday morning at Canadian Forces Base, Comox, located on Vancouver Island. Over at 442 Squadron, Private Billy Frisk was feeling a little under the weather due to a party the night before and Sergeant Gord Keyhole, his Crew Chief, was very worried about the injuries his daughter had sustained from a car accident.The TrackerAt VU 33, a Coastal Patrol Squadron, Master Corporal Harry Rossetti, the Instrument/Electrical Technical Supervisor, was fixing a snag with a short in a Tracker Electrical Inverter. Captain Dave Bercoli, one of the Squadrons pilots, was getting impatient for his aircraft to become serviceable and interrupted him, How much longer Harry? Its required for a mission. Harry was very rushed as he was

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