Jump to content
The Education Forum

Yes, mistakes can happen


Evan Burton
 Share

Recommended Posts

From here:

http://www.smh.com.au/news/national/fatal-...7568330046.html

POTENTIALLY fatal gas being pumped into a passenger jet's emergency oxygen tanks in Australia has sparked a worldwide safety investigation.

The Australian Safety Transport Bureau confirmed yesterday that Qantas engineers accidentally put nitrogen into the oxygen tanks of a Boeing 747 at Melbourne Airport.

Qantas immediately checked oxygen supplies on more than 50 of its planes that had been serviced by a wrongly labelled nitrogen cart at Tullamarine.

...

Dr Ian Millar, director of the hyperbaric medicine unit at Melbourne's Alfred Hospital, said: "If there was an emergency and the pilot took nitrogen instead of oxygen, instead of gaining control of the aircraft he would black out and it would be all over. It's a pretty serious mistake."

...

The aviation source said: "Qantas took delivery of the new nitrogen cart 10 months ago.

"It looked exactly like the old oxygen cart. When the attachments did not fit they went and took them off the old oxygen cart and started using it."

The mistake was spotted by an aircraft engineer and reported to the Civil Aviation Safety Authority, which declared it a one-off incident. But the aviation source said: "This could have affected at least 175 planes."

....

A tremendous stuff-up, and one that could have had fatal consequences.

Now let's change the story a little bit. Let's say some persons were killed. A pressurisation seal on a bizjet fails. The crew and pax go onto emergency O2 - only it is nitrogen. They pass out, the aircraft crashes. Someone says it was the deliberate killing of one of the pax. The accident report shows an inspection was missed on the seal, and how N was mistakenly put into the O2 tanks. Some people would say "Impossible! The tanks are coloured differently, they use different fittings, etc. Impossible - it could never happen. It was foul play."

The thing is, we now have a situation where a potentially fatal accident occurred.

Now, apply the same thing to "evidence" regarding other 'conspiracies'. There are probably at least 2 or 3 that have mundane explanations... if you were to accept that accidents do happen.

Something to think about.

Link to comment
Share on other sites

From here:

http://www.smh.com.au/news/national/fatal-...7568330046.html

POTENTIALLY fatal gas being pumped into a passenger jet's emergency oxygen tanks in Australia has sparked a worldwide safety investigation.

The Australian Safety Transport Bureau confirmed yesterday that Qantas engineers accidentally put nitrogen into the oxygen tanks of a Boeing 747 at Melbourne Airport.

Qantas immediately checked oxygen supplies on more than 50 of its planes that had been serviced by a wrongly labelled nitrogen cart at Tullamarine.

...

Dr Ian Millar, director of the hyperbaric medicine unit at Melbourne's Alfred Hospital, said: "If there was an emergency and the pilot took nitrogen instead of oxygen, instead of gaining control of the aircraft he would black out and it would be all over. It's a pretty serious mistake."

...

The aviation source said: "Qantas took delivery of the new nitrogen cart 10 months ago.

"It looked exactly like the old oxygen cart. When the attachments did not fit they went and took them off the old oxygen cart and started using it."

The mistake was spotted by an aircraft engineer and reported to the Civil Aviation Safety Authority, which declared it a one-off incident. But the aviation source said: "This could have affected at least 175 planes."

....

A tremendous stuff-up, and one that could have had fatal consequences.

Now let's change the story a little bit. Let's say some persons were killed. A pressurisation seal on a bizjet fails. The crew and pax go onto emergency O2 - only it is nitrogen. They pass out, the aircraft crashes. Someone says it was the deliberate killing of one of the pax. The accident report shows an inspection was missed on the seal, and how N was mistakenly put into the O2 tanks. Some people would say "Impossible! The tanks are coloured differently, they use different fittings, etc. Impossible - it could never happen. It was foul play."

The thing is, we now have a situation where a potentially fatal accident occurred.

Now, apply the same thing to "evidence" regarding other 'conspiracies'. There are probably at least 2 or 3 that have mundane explanations... if you were to accept that accidents do happen.

Something to think about.

I cannot think of a single conspiracy theory which can be the result

of an "accident"...unless you consider Chapaquiddik an "accident".

If you do, you have not studied the evidence.

I suppose you think Lee Harvey Oswald ACCIDENTALLY fired three

shots from the TSBD, killing JFK. Even if you deny the truth of

911, how can you consider it an accident. Was the OKCity bombing

an accident?

Please give specific examples of "accidental" conspiracy theories.

Jack

Link to comment
Share on other sites

Evan,

Please enjoy the following homage to your all-too-common brand of logic.

A flea trainer had trained a flea to fly upon command.

"Fly, flea," he'd say, and the flea would fly.

Then one day he cut off the flea's wings.

"Fly, flea," he said, but the flea did not fly.

That night, the flea trainer made the following entry in his journal:

"When one cuts the wings off a flea, the flea becomes deaf."

Charles

Link to comment
Share on other sites

I cannot think of a single conspiracy theory which can be the result of an "accident"...unless you consider Chapaquiddik an "accident".

If you do, you have not studied the evidence.

I suppose you think Lee Harvey Oswald ACCIDENTALLY fired three shots from the TSBD, killing JFK. Even if you deny the truth of 911, how can you consider it an accident. Was the OKCity bombing an accident?

Please give specific examples of "accidental" conspiracy theories.

Jack

Certainly.

Your associate, and fellow Forum member, Dr (or is it Prof? please excuse if I mistake the correct title) James Fetzer, claims that the aircraft crash - in which Sen. Wellstone was a passenger - was brought about by some NAVAID-interrupting beam, possibly a 'death ray' of some description, or sabotage to the aircraft systems. He disregards the numerous examples of CFIT that preceded the accident. There is a thread on this debate:

http://educationforum.ipbhost.com/index.ph...mp;hl=wellstone

That's one.

Link to comment
Share on other sites

Evan,

Please enjoy the following homage to your all-too-common brand of logic.

A flea trainer had trained a flea to fly upon command.

"Fly, flea," he'd say, and the flea would fly.

Then one day he cut off the flea's wings.

"Fly, flea," he said, but the flea did not fly.

That night, the flea trainer made the following entry in his journal:

"When one cuts the wings off a flea, the flea becomes deaf."

Charles

I see your point, Charles, but I think that perhaps you are failing to recognise mine:

Not ALL accidents are conspiracies. If you have further supporting evidence, then indeed the 'accident' may be anything but... yet you have to demonstrate there is sufficient reason to hold this view.

Link to comment
Share on other sites

From here:

http://www.smh.com.au/news/national/fatal-...7568330046.html

POTENTIALLY fatal gas being pumped into a passenger jet's emergency oxygen tanks in Australia has sparked a worldwide safety investigation.

The Australian Safety Transport Bureau confirmed yesterday that Qantas engineers accidentally put nitrogen into the oxygen tanks of a Boeing 747 at Melbourne Airport.

Qantas immediately checked oxygen supplies on more than 50 of its planes that had been serviced by a wrongly labelled nitrogen cart at Tullamarine.

...

Dr Ian Millar, director of the hyperbaric medicine unit at Melbourne's Alfred Hospital, said: "If there was an emergency and the pilot took nitrogen instead of oxygen, instead of gaining control of the aircraft he would black out and it would be all over. It's a pretty serious mistake."

...

The aviation source said: "Qantas took delivery of the new nitrogen cart 10 months ago.

"It looked exactly like the old oxygen cart. When the attachments did not fit they went and took them off the old oxygen cart and started using it."

The mistake was spotted by an aircraft engineer and reported to the Civil Aviation Safety Authority, which declared it a one-off incident. But the aviation source said: "This could have affected at least 175 planes."

....

A tremendous stuff-up, and one that could have had fatal consequences.

Now let's change the story a little bit. Let's say some persons were killed. A pressurisation seal on a bizjet fails. The crew and pax go onto emergency O2 - only it is nitrogen. They pass out, the aircraft crashes. Someone says it was the deliberate killing of one of the pax. The accident report shows an inspection was missed on the seal, and how N was mistakenly put into the O2 tanks. Some people would say "Impossible! The tanks are coloured differently, they use different fittings, etc. Impossible - it could never happen. It was foul play."

The thing is, we now have a situation where a potentially fatal accident occurred.

Now, apply the same thing to "evidence" regarding other 'conspiracies'. There are probably at least 2 or 3 that have mundane explanations... if you were to accept that accidents do happen.

Something to think about.

There's something disturbing about the example you have given, Evan. (looking back on CAA history et.c.). How could 'trained' staff not question fittings? It's like a page out of 'the manual' of protocol has been torn out and a problem exists that may be systemic. IOW not as singularly (150+ tmes) 'accidental' as Quantas would like it to be thought of. Perhaps more a matter of significant neglect due to relaxed standards, and therefore other arenas are implicated and consequently it is in a sense a result of a 'conspiracy', but one that is removed from this particular event? What has happened to the 'whistle blower' in this case? Where today? Doing what?

There is also Quantas record to comsider re safety, add to that the opening up of the domestic/international competition. Sabotage? Staged event to arouse the 'war on terror'? Terrorism? Laxity or ignorance as a result of systemic problems?

Edited by John Dolva
Link to comment
Share on other sites

There's something disturbing about the example you have given, Evan. (looking back on CAA history et.c.). How could 'trained' staff not question fittings? It's like a page out of 'the manual' of protocol has been torn out and a problem exists that may be systemic. IOW not as singularly (150+ tmes) 'accidental' as Quantas would like it to be thought of. Perhaps more a matter of significant neglect due to relaxed standards, and therefore other arenas are implicated and consequently it is in a sense a result of a 'conspiracy', but one that is removed from this particular event? What has happened to the 'whistle blower' in this case? Where today? Doing what?

There is also Quantas record to comsider re safety, add to that the opening up of the domestic/international competition. Sabotage? Staged event to arouse the 'war on terror'? Terrorism? Laxity or ignorance as a result of systemic problems?

That's an excellent question, John, and one which I ask myself often when reading Air Safety Occurrence Reports (ASORs). I see mistakes that simply should not happen - but they do. We can try to educate people, we put checks and double checks into place, we charge people who make deliberate violations of rules.... but it still happens.

There are manuals which tell you how to carry out a procedure (many in the Navy field are my personal responsibility). Sometimes there are mistakes; people lodge forms to alert us to those mistakes. Yet sometimes people disregard the procedures... because they "know better" or have been taught a "short cut".

Is it systemic? Probably. Are the organisations (ADF, civil airlines, etc) working to fix it? Yep. The RAN has a programme in place trying to get people to stop if they think something is amiss, providing avenues for people to alert command of they think shortcuts are being taken. Some may think this is just window dressing, and I don't blame them - but as a member of the team who tries to combat this, let me tell you: we want people to work smart but work to standards; not take shortcuts which appear okay but endanger lives. The loss of experienced crews (forget the PR aspect) is unacceptable.

Sorry for the rant but it is an area which I have personal involvement.

Link to comment
Share on other sites

Guest David Guyatt
I see your point, Charles, but I think that perhaps you are failing to recognise mine:

Not ALL accidents are conspiracies. If you have further supporting evidence, then indeed the 'accident' may be anything but... yet you have to demonstrate there is sufficient reason to hold this view.

But Evan, with the greatest respect in the world, you're the one here who is theoretically trying to conflate all accidents with conspiracies.

Not all conspiraciy theories are conspiracy facts. Not all accidents and incidents are innocent accidents or incidents.

There's no accounting for the mad *ssholes (and fame seekers) of the world, but the interest of intelligent people are triggered on a case by case basis and then they seek underlying reasons, motives and tell-tale anomalies.

Link to comment
Share on other sites

I cannot think of a single conspiracy theory which can be the result of an "accident"...unless you consider Chapaquiddik an "accident".

If you do, you have not studied the evidence.

I suppose you think Lee Harvey Oswald ACCIDENTALLY fired three shots from the TSBD, killing JFK. Even if you deny the truth of 911, how can you consider it an accident. Was the OKCity bombing an accident?

Please give specific examples of "accidental" conspiracy theories.

Jack

Certainly.

Your associate, and fellow Forum member, Dr (or is it Prof? please excuse if I mistake the correct title) James Fetzer, claims that the aircraft crash - in which Sen. Wellstone was a passenger - was brought about by some NAVAID-interrupting beam, possibly a 'death ray' of some description, or sabotage to the aircraft systems. He disregards the numerous examples of CFIT that preceded the accident. There is a thread on this debate:

http://educationforum.ipbhost.com/index.ph...mp;hl=wellstone

That's one.

Jack must have been joking other cases include

American flight 587

TWA 800

United 553 (the one Howard Hunt’s wife was on)

The JFK jr. crash (odd that Jack would have forgotten this one since he posted a link to an article saying it wasn’t an accident)

The Cory Lidle (NY Yankee pitcher) crash

The disappearance and presumed crash of the plane Hale Boggs and Nick Begich were on.

The (car) crash that killed Karen Silkwood (even I’m suspicious of this one).

The (car) crash that killed the west coast editor of Aviation Week

The microbiologist who supposedly fell off a bridge in Tennessee (and the death of several other scientists)

The recent incident in which nuclear warheads were transported ‘unsecured’ by the USAF

Those a re just a few I cite off the top of my head presumablly there are many more

Link to comment
Share on other sites

Perhaps a litmus test in this instance is answers to : What has happened to the 'whistle blower' (or 'doing the right thing'er) in this case? Where today? Doing what?

One could argue this person should have a promotion in the right direction, ie., for example, broad supervisory role re safety regualtion enforcement. Has he been sacked, resigned, shifted, shuffled or what?

Link to comment
Share on other sites

The bridge collapse in Minnesota last year. There was a thread on here postulating some theories, when in fact it was an accident brought on by crumbling infrastructure- an accident which may become more and more common as the years go on.

The explosion of "Apollo 1" the problems with "Apollo 13", the explosion of the Challenger, and the crashes that killed John Heinz, Mel Carnahan, Jerry Litton, Trujillo (sp?), Ron Brown, and John Tower. It's been claimed that KAL 007 didn't accidentally fly into Soviet airspace etc etc.

They have been literally dozens of incidents that are classified as accidents about which conspiracy theories exist, Jack's inability to remember any is a bit bizarre.

Link to comment
Share on other sites

Guest David Guyatt

The death of Senator John Tower remains of interest:

http://educationforum.ipbhost.com/index.ph...art=#entry22809

Probably the wrong thread to go into this, but I heard some interesting talk about background events that Tower was involved with just prior to his death that was said to relate to his desire to get even with Bush for not supporting his nomination to SecDef.

Link to comment
Share on other sites

Some of these other cases are quite interesting, but I'd just like to iterate my point: sometimes unusual events happen without there being any nefarious cause. Just because an unusual event happens - in any field, be it aviation, production, etc - it does not automatically mean that there are suspicious circumstances regarding that event. There may well be, and it may warrant further investigation, but the event itself is not a priori evidence of subterfuge. That's because sometimes mistakes DO happen.

Link to comment
Share on other sites

Some of these other cases are quite interesting, but I'd just like to iterate my point: sometimes unusual events happen without there being any nefarious cause. Just because an unusual event happens - in any field, be it aviation, production, etc - it does not automatically mean that there are suspicious circumstances regarding that event. There may well be, and it may warrant further investigation, but the event itself is not a priori evidence of subterfuge. That's because sometimes mistakes DO happen.

Of course.

But conspiracies happen, too.

So we are obliged by the nobility inferred upon us by all we have learned (at hideous costs) about deep political structures, goals, and methods to evaluate a wide range of "unusual events" with the specialist's tools we've mastered.

It is just as valid to investigate, say, the crash of JFK Jr.'s plane by utilizing deep political analyses as it is to conduct scientific investigations of possible mechanical or "innocent" causes.

Why, in my example, the death of Mr. Kennedy the younger? Because the natures of his politics, interests, and family affiliation clearly were inimical to forces that have the demonstrated means, motives, and willingness to eliminate their enemies by, among other means, staging "accidents."

In our world, under certain circumstances it must be "guilty until proven otherwise."

I don't know why or how JFK Jr.'s plane was lost. I strongly suspect foul play, and there exists disturbing circumstantial, eyewitness, earwitness, and material evidence (some publicly available, some, alas, not) to support my suspicions.

But I am not prepared to state that, to the degree of metaphysical certitude, John Kennedy, Jr., his wife, and his sister-in-law were murdered.

Although it sure looks that way.

Charles

Link to comment
Share on other sites

Please sign in to comment

You will be able to leave a comment after signing in



Sign In Now
 Share

×
×
  • Create New...