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美国ASRS安全公告CALLBACK cb_241.pdf2页

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Number 241

July 1999

CALLBACK Classics “And Now We Are 20...”
Dear Readers: In the midst of preparing this summer’s issues, we realized that July 1999 marks a proud milestone for both the ASRS and this publication – CALLBACK’s 20th anniversary. More than two decades ago, the ASRS Advisory Committee – an industry/government group charged with oversight of the ASRS – reviewed the results of a survey that showed a large proportion of the flying population lacked knowledge of the ASRS and its immunity features. ASRS was “aviation’s best-kept secret.” The Committee took steps to fill this awareness gap by directing NASA to develop a means of regular communication with potential users of the ASRS. In the summer of 1979, the first issue of CALLBACK was cobbled together with scissors and transparent tape by Captain Rex Hardy, the founding Editor (as well as writer, circulation manager, and entire staff). Helping Rex type up that first issue was Dr. Charles (“Charlie”) Billings, an experienced researcher who had conducted much of NASA’s earlier human-factors research and was NASA’s then commander-in-chief of the ASRS. Charlie Billings took on a formidable bureaucratic challenge and risk in approving those first monthly bulletins – which some of his NASA colleagues considered shockingly casual for what was unquestionably a government publication. The “casual” nature of these monthly bulletins was largely due to Rex, a decorated Naval aviator and corporate test pilot who had the working pilot’s distaste for well-intentioned but dull exhortations on safety. He had decided that ASRS’s new safety bulletin would be short, readable, and informal. Rex christened the new publication CALLBACK. Issue No. 1, in July 1979, explained the title: “CALLBACK? That’s a code term used at ASRS when a contact is initiated with someone who has sent in a report. The idea is to establish a dialogue in the interest of aviation safety…Safety is a serious subject, but we hope you will find this bulletin interesting, instructive, and even – sometimes – entertaining…” Rex kept that promise to his readers for 100 issues, until his retirement as Editor in 1987. His editorial credo, upheld by others in the years since, has helped CALLBACK reach into every corner of the aviation community to educate, inform, and inspire potential users to submit their incident experiences to ASRS. Along the way, CALLBACK has gathered four major aviation industry awards for publication excellence. Now some 20 years and 430,000 ASRS incident reports later, we invite you to enjoy some of our personal favorites from Rex Hardy’s first 100 CALLBACKs. And to Rex and Charlie, both now retired but as productive as ever, a resounding THANKS from the troops –for your vision, originality, and courage. We all owe you a lot. – Rowena Morrison, Editor

Nuggets
Editor’s Note: The rest of this issue comes to you courtesy of Capt. Rex Hardy and the first 100 CALLBACKs. We hope you will enjoy these “oldies but goodies,” which carry safety messages still relevant for today’s aviation operations.

These odds and ends have been extracted from otherwise routine ASRS reports. They may instruct, edify, or amaze readers. The [first], from a report of a minor mishap, comes, obviously, from a Captain who changes into his uniform in a phone booth: s This was my first error since I started flying in 1968. (August 1984, #62) s Moral: Know EXACTLY where you are – not ABOUT where you are. (February 1984, #56) s Keep your coffee on the floor! (November 1984, #65) s Whoever designed this departure procedure must moonlight as a video game designer. Case in point: Turns before transition–6; altitude restrictions–5; intersections–8; total–(19 opportunities [for error])! (November 1985, #77) s After 16 years of conditioning, maybe I’m no better than Pavlov’s dog (February 1987, #92)

Look Mom – No Hands!
We borrow from England’s Flight Safety Focus a tale about an airline in the process of installing Autoland equipment in its fleet. Test report: Log entry from pilot: “Autoland carried out. The aircraft landed very firmly and well to left of centerline. Most unsatisfactory.” Engineer’s entry: “Autoland not fitted to this aircraft…” (May 1983, #47)

ASRS Recently Issued Alerts On…
ATR-42 electrical smoke and fumes Incorrect FMC software installations on B737s B737-300 loss of cabin pressure emergency Confusion over foreign “line up and wait” clearances GPWS conflict with ATC minimum safe/vectoring altitudes

A Monthly Safety Bulletin from
The Office of the NASA Aviation Safety Reporting System, P.O. Box 189, Moffett Field, CA 94035-0189 http://olias.arc.nasa.gov/asrs

May 1999 Report Intake
Air Carrier / Air Taxi Pilots General Aviation Pilots Controllers Cabin/Mechanics/Military/Other 1830 667 48 132

TOTAL

2677


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