July-August 2022 - 43

utmost important. If we make human factors important,
then the importance of every maintenance
operation will follow accordingly.
Each event discussed herein begs the questions,
how could this happen, and what is of utmost importance?
Based on the level of seriousness, injury, or
fatality of the incident, the investigation will have
increasing levels of identification of the contributing
factors. Lacking some details, I offer conjectures
regarding probable causation. The examples
below range from general aviation to air carrier
maintenance.
SMALL FIXED WING: LOOSE THROTTLE
CABLE ON A CESSNA 182T SKYLANE, 2021
While in cruise flight, the engine went to full
throttle and then to idle. The pilot had no control
of the throttle from the cockpit. A successful forced
landing left the aircraft intact, with obvious evidence.
The nut that secured the throttle cable to the
throttle body was loose, with no cotter pin installed.
What could have caused this situation? Because the
outcome was minimal, there is no detailed event
report.
Here are some possible reasons: non-licensed
owner maintenance; lack of training/experience
of AMT; failure to adhere to AC 43.13-1B Chapter 7.
Aircraft Hardware, Control Cables, and Turnbuckles;
complacency with respect to engine controls criticality,
and/or lack of second inspection. It could
have been issues like stress; complacency; preoccupation
with other matters; rush to completion; or
personal fitness for duty. These familiar factors can
apply to this event or to most of the events below.
HELICOPTER TOUR: FLIGHT CONTROL
DISCONNECT ON AEROSTAR 350, 2011
Any observer of maintenance flight safety and
human factors is likely familiar with the Sundance
helicopter crash in the Grand Canyon (NTSB, 2013).
AviationPros.com/10133965
www.AviationPros.com 43

http://www.iceshield.com http://www.AviationPros.com/10133965 http://www.AviationPros.com

July-August 2022

Table of Contents for the Digital Edition of July-August 2022

A Southern Gentleman and a Great Man
Industry Inspection
AMT 40 Under 40 Maintenance Professionals Award Winners
Adopting and Maintaining Effective Safety Management Systems
If Everything is Important Then...
PPG to Break Ground on New Toulouse-Base Aerospace Application Support Center
The Way We've Always Done It
Anyone Fits
MRO Package Tracks and Manages Aircraft Maintenance and Inventory Control
Advertiser’s Index
July-August 2022 - 1
July-August 2022 - 2
July-August 2022 - 3
July-August 2022 - A Southern Gentleman and a Great Man
July-August 2022 - 5
July-August 2022 - Industry Inspection
July-August 2022 - 7
July-August 2022 - 8
July-August 2022 - 9
July-August 2022 - 10
July-August 2022 - AMT 40 Under 40 Maintenance Professionals Award Winners
July-August 2022 - 12
July-August 2022 - 13
July-August 2022 - 14
July-August 2022 - 15
July-August 2022 - 16
July-August 2022 - 17
July-August 2022 - 18
July-August 2022 - 19
July-August 2022 - 20
July-August 2022 - 21
July-August 2022 - 22
July-August 2022 - 23
July-August 2022 - 24
July-August 2022 - 25
July-August 2022 - 26
July-August 2022 - 27
July-August 2022 - 28
July-August 2022 - 29
July-August 2022 - 30
July-August 2022 - 31
July-August 2022 - 32
July-August 2022 - 33
July-August 2022 - 34
July-August 2022 - 35
July-August 2022 - 36
July-August 2022 - 37
July-August 2022 - Adopting and Maintaining Effective Safety Management Systems
July-August 2022 - 39
July-August 2022 - 40
July-August 2022 - 41
July-August 2022 - If Everything is Important Then...
July-August 2022 - 43
July-August 2022 - 44
July-August 2022 - 45
July-August 2022 - 46
July-August 2022 - 47
July-August 2022 - PPG to Break Ground on New Toulouse-Base Aerospace Application Support Center
July-August 2022 - The Way We've Always Done It
July-August 2022 - Anyone Fits
July-August 2022 - 51
July-August 2022 - MRO Package Tracks and Manages Aircraft Maintenance and Inventory Control
July-August 2022 - 53
July-August 2022 - 54
July-August 2022 - 55
July-August 2022 - 56
July-August 2022 - 57
July-August 2022 - Advertiser’s Index
July-August 2022 - 59
July-August 2022 - 60
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