Register

Chain Of Events

Lufthansa Aerial Solutions is working with UAS-maker DJI to develop new uses for drones. DJI
Gemini Sparkle

Key Takeaways:

  • A fatal solo student pilot accident was caused by an engine power interruption due to water-contaminated fuel during a go-around, leading to a hard landing and loss of control.
  • Investigation revealed the fuel contamination stemmed from a leaky and damaged fuel tank, and the pilot proceeded with the flight despite pre-flight indications of water in the fuel.
  • The accident, which might have been survivable, became fatal because the pilot was not securely buckled, likely due to distraction and an interrupted pre-landing checklist.
  • The incident underscores how a "chain of events" involving mechanical issues, overlooked pre-flight checks, and human error can escalate, highlighting the critical importance of standardization and thorough procedure adherence.
See a mistake? Contact us.

Anyone familiar with accident investigation likely has heard the phrase “chain of events.” It refers to any number of factors contributing to the accident or its severity. Of course, the vast majority of accidents result from one or more mistakes made by a human, generally referred to as pilot error. Mechanical causes pose much less risk but, once they occur, can contribute to the pilot making a mistake in responding to the failure or mishandling the aircraft. An example of the latter might be the pilot who is so happy they made it to a suitable runway after an engine failure that they forget to extend the landing gear.

One of the best defenses against pilot error is standardization, followed closely by its first cousin, experience. Correctly performing tasks the same way every time is an example of standardization, while knowing when to go back and start over if a checklist is interrupted is a mark of experience. Standardization can be taught, beginning with primary training, but experience can be a hard-earned badge, often gained by—you guessed it—standardizing tasks and procedures, even in the midst of major distractions.

Ready to Sell Your Aircraft?

List your airplane on AircraftForSale.com and reach qualified buyers.

List Your Aircraft
AircraftForSale Logo | FLYING Logo
Pilot in aircraft
Sign-up for newsletters & special offers!

Get the latest stories & special offers delivered directly to your inbox.

SUBSCRIBE