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Intro

Intro. 10 - 10 - 10. Vandermeulen Roger Instructeur EBHN Hoevenen – Antwerpen DGA WPR CEP. Intro 2. CIRCELS. Incident - accident. Hardware. Meteo. The true story ??. Authority. Software. Externe. $ $ Insurance € €. CIRCELS. Incident - accident. €. Under Trained. Perform.

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Intro

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  1. Intro 10 - 10 - 10

  2. Vandermeulen Roger Instructeur EBHN Hoevenen – Antwerpen DGA WPR CEP Intro 2

  3. CIRCELS Incident - accident Hardware Meteo The true story ?? Authority Software Externe $ $ Insurance € €

  4. CIRCELS Incident - accident € Under Trained Perform. Expensive

  5. CIRCELS Some circles broken m Incident - accident b

  6. Crash Landing - Fuel Valves - Chain of events - Human factor Incident - accident Happy end - Ergonomics Physical versus Cognitive - Human Factor - Fuel Valves

  7. Fuel Valves

  8. Fuel Valves

  9. Fuel Valves

  10. Fuel Valves

  11. Fuel Valves

  12. FLOW OPEN FLOW CLOSE Happy end ???? 2500 ft !!!

  13. Human factors

  14. Human factors

  15. Crash Landing - Nav. EBHN-EBZH-EBKH-EBHN. - CAVOK, 050-6, QNH 1020, Temp 27° 15 min. to go; Temp,Climb, Fuel,Turbulence,Temp,Engine failuers, Overhead EBHN; forced landing. In final; thermal, tailwind,sideslip, over speed; Hard landing, rebounded, Stall, touchdown on the nose landing-gear. No injuries, ULM damaged.

  16. Chain of events a number of actions and their effects that are contiguous and linked together.

  17. R L Chain of events FUEL ? EBBT variable indication 2 fuel valves open Turbulence

  18. Chain of events Turbulence Air fuel system 5 L 1,5 L Fuel pump - ENGINE

  19. Man. Press 4800 rpm Ok Low Chain of events Engine poor mixture ???

  20. Chain of events Temperature = Rising EBZR or EBHN ??? Stress !!!! Go for EBHN !!!

  21. Chain of events 1500 ft to 2000 ft Temperature = HOT EBBT or EBHN ??? Stress !!!! Go for EBHN !!!

  22. Chain of events EBBT to EBHN Engine = HOT Engine failures !!! Stress !!!! EBHN in sight

  23. Chain of events EBHN 1200 ft overhead Well trained = Forced landing Tailwind & thermal Overshoot ??? sideslip, over speed Crash Landing

  24. Chain of events valves EBZR EBBT EBHN Human factor Pressing on to get back home Stress = errors 1 Pilot – 1 passenger

  25. END

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