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John Lowery - A Pilots Accident Review (Kindle edition): An in-depth look at high-profile accidents that shaped aviation rules and procedures

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John Lowery A Pilots Accident Review (Kindle edition): An in-depth look at high-profile accidents that shaped aviation rules and procedures
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A Pilots Accident Review (Kindle edition): An in-depth look at high-profile accidents that shaped aviation rules and procedures: summary, description and annotation

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This is the eBook (epub) edition of this title.
In A Pilots Accident Review, starting on the premise that we often learn best by reviewing the mistakes of others, author John Lowery compiles an in-depth analysis of high-profileas well as some not so well-knownaviation accidents. He illustrates the potential dangers during each phase of flight and the psychology behind pilot error, effectively demonstrating how a chain of errors, often originating from a pilots support team, can lead to fatal crashes. Lowery discusses at length the JFK, Jr. and Concorde accidents, and those involving Frank Sinatras mother, Reba McIntires band, John Denver and Wiley Post.
A Pilots Accident Review provides pilots with a closer look at safety procedures in intense circumstances, such as flying through extreme weather or hazardous environments, and is designed to build awareness of the most preventable factors in pilot errorincluding the primary causes of controlled flight into terrain (CFIT) and loss of control (LOC). Carefully reviewed are the human factors that can precipitate accidentsparticularly complacency, overconfidence, and compulsion.
Most books that address aircraft accidents are written for accident investigators or government entities. Many organizations in the aviation industry make an effort to avoid discussing accidents directly, or show photos of wrecked or damaged aircraft. Instead, this book goes straight to the accidents causes from a prevention viewpoint, in order to help pilots as well as investigators gain insight on them.
The author firmly believes that by understanding the factors that cause accidents, we can train to be safer, more effective pilots-in-command. This book is an ideal textbook addition to aviation safety, accident investigation, and human factors courses, yet is written in a clear and direct style that can speak to and benefit all kinds of fliers and aviation industry employees.

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A Pilots Accident Review by John Lowery Aviation Supplies Academics Inc - photo 1

A Pilots Accident Review
by John Lowery

Aviation Supplies & Academics, Inc.
7005 132nd Place SE
Newcastle, Washington 98059-3153

2015 Aviation Supplies & Academics, Inc.

All Rights Reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopy, recording, or otherwise, without the prior written permission of the copyright holder. While every precaution has been taken in the preparation of this book, the publisher and John Lowery assume no responsibility for damages resulting from the use of the information contained herein. None of the material in this book supersedes any operational documents or procedures issued by the Federal Aviation Administration, aircraft and avionics manufacturers, flight schools, or the operators of aircraft.

ASA-ACC-REV-EB
ISBN 978-1-61954-218-1
LoC#2015020901

Photo credits:
All photography is by and John Lowery, unless otherwise indicated as follows (page numbers refer to print edition): Page 7, courtesy of Garmin International; p.8, Chelton Flight Systems; pp.41, 43, 134, Flight Guide; p.55, IDuke at English Wikipedia (per Wikimedia Creative Commons License CC BY-SA 2.5); p.60, Associated Press Photo/Toshihiko Sato; pp.75, 106, 154, 214, National Transportation Safety Board (NTSB); p.87, Alan Redecki (per Wikimedia Creative Commons License CC BY-SA 3.0); p.89, RocketRoute; pp.103, 109 (top), 142, National Center for Atmospheric Research (NCAR); p.109 (bottom), John R. Bakksen; p.120, National Aeronautics and Space Administration (NASA); p.121, United States Air Force (USAF); p.143, National Oceanic and Atmospheric Administration (NOAA); and p.252, Alese and Morton Pechter.

Contents
Foreword

Once again, one of the most insightful, knowledgeable professional pilots in todays sphere of aviation has probed and poked the annals of aircraft accidents to unveil the causes of flyers killing themselves and others.

A long list of accidents spanning the spectrum of flight, from bug smashers to high-performance military and professional aviation, is examined in detail, providing solid foundations for drawing meaningful conclusions. Author John Lowerys research and experience as pilot, instructor, check airman and writer across that spectrum-of-wings are clearly evident, as he dissects an impressive array of incidents. That background is brought to bear in myriad subtle ways, such as avoiding temptations to zero-in on mechanical, training, decision making, weather, or other factor as the cause of a mishap. Lowery fully appreciates that most accidents are attributed to a cascade of equipment and/or human failures, and skillfully interweaves myriad elements, showing how they interact and contribute to a smoking hole.

Of particular interest to professionals, the author raises the intriguing probability that otherwise healthy pilots may suffer from an unrecognized degradation of cognitive abilities. Even experienced, proficient pilots can mentally lose it, as they age. However, ego, complacency and a press-on proclivity that characterizes far too many aviators can lead to bad decisions and, ultimately, disaster.

Lowery addresses perennial topics associated with aircraft accidents, such as faulty training, poor judgment, fatigue, inadequate nutrition, compulsion (e.g., get-home-itis), and complacency. However, he also builds a compelling case for instructors and check pilots having to shoulder a portion of the blame for fatal accidents that kill innocent passengers and crew members. Time and again, training professionals in all sectors of aviation have identified deficiencies in a pilots aptitude or cognitive capabilities, but were either reluctant to ground a career aviator, or were pressured into passing a pilot that they knew, on a gut level, was on a VFR-direct route to an accident. That, Lowery suggests, raises ethical concerns for everybody from individual at-risk pilots to training pros and Federal Aviation Administration regulators.

Aviation professionals, whove filled a pile of logbooks and think theyve absorbed every tidbit written about aero-safety, will be impressed with Lowerys observations and insights. Real professionals will appreciate the authors discernment and incorporate this books wisdom into their own flying.

William B. Scott

Rocky Mountain Bureau Chief for Aviation Week & Space Technology (retired), author of Space Wars, Counterspace and The Permit.

Introduction

He bears the seed of ruin in himself.

Matthew Arnold (1822-1888)

The intent of this book is to provide extra bits of knowledge to help the serious pilot in decision-making and thus enjoy a long flying career. Using the theory that we sometimes learn best by reviewing the mistakes of others, this book has been centered around aircraft accidents and why they occurred. In most cases the pilot or someone in his or her support teammechanic, weather briefer, avionics technician, or in commercial flying, the pilots management, even the manufacturermade the accident inevitable. The pilots personality too is frequently involved, with compulsion in decision-making a precipitating factor. To help understand the inherent problems, selected accidents have been analyzed in an effort to help prevent the predictable repetition that characterizes each years record on file at the National Transportation Safety Board (NTSB).

The dictionary defines an accident as an unexpected happening. Yet, when all factors are considered in most aircraft accidents, they cannot be called unexpectedsimply because they were predictable. And, as you will note, many involve experienced pilots, which is by way of emphasizing that it can happen to you too.

Historically, about 80 percent of the annual general aviation accidents are attributed to pilot error. However, an in-depth analysis will usually show that a chain of errors, which included the pilot and one or more members of his or her extensive support team, culminated in an accident. It may have been the line-service person who refueled the piston-powered light twin with jet fuel instead of gasoline; or the flight instructor who signed off his student as fully trained before he/she was actually ready; or the FAA designated pilot examiner (DPE) who licensed a new pilot with a quick oral exam and short check flight that didnt adequately test the new pilots knowledge or flying skill. Or perhaps it was the mechanic who repaired the engine and failed to properly torque the bolts holding the engine halves together, and the maintenance inspector who failed to catch the error. As a result, the engine fails over hostile terrain.

Sometimes its the weather briefer who provided incomplete information, or the airport manager who failed to adequately maintain the runway surface and allowed an excessive rubber buildup from the landing traffic. As a result, it becomes slick during a rain, and when a pilot lands on the slick surface the airplane hydroplanes off the end of the runway resulting in major damage and serious injuries to passengers or crew.

Occasionally, its a misunderstood clearance from the control towerpossibly combined with the pilots inattentionthat culminates in catastrophe. This is especially true with runway incursions, wherein a clearance was misunderstood; or while taxing for takeoff, the pilot was chatting with a friend in the right seat.

Conflicting information too is sometimes a factor. For example, theres the pilot who crashes on final approach due to wing and tail ice that accumulated during cruise flight. Although his airplane was certified for flight in known icing conditions, he didnt realize that icing certification doesnt allow continuous flight within it.

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