Risk Assessment of Fuel Quantity Indicator Replacement in ATR72 Aircraft

摘要

Aircraft maintenance activities are rife with opportunities for error. The concurrent in-flight failure of all of theudengines of a non-scheduled airline flight and the following lost of human lives highlight one of these opportunities.udAs commonly recognized among flight operators, each Flight Safety Agency follows the criteria of the ICAO Annexud16 in which all the evidences of the technical investigation pave the way for avoiding future flight accidents orudincidents. On the other hand, when the italian penal procedure code was applied for the ATR72 TSLBB crash atudissue on 6th August 2005 near Palermo (Italy), the investigation is also carried out for finding (if concurrent or not)udthe personal and professional responsibilities. This was the task of the first author. Now, this article briefly reportsudthe findings of the investigation and discuss more in detail how both human factors of design and human factors inudthe published instructions for the completion of a maintenance task contributed to this accident.