Interim Report - Introduction - EASA

INTERIM REPORT – OPTIONS FOR CHANGE – ATTACHMENT A
EASA.2009.OP.21
From the summary accounts recorded in each report, the Study Team have made the
following deductions:
− On 27 occasions an aircraft was dispatched by the de-icing / anti-icing crew with
contamination still on the aircraft surfaces,
− On 19 occasions a flight was conducted with contamination still on, or in, the aircraft,
The following specific elements are highlighted as problem areas in these reports, as follows:
− Operator’s Procedures – 49
− Service Provider’s Procedures – 38
− Training (including lack of knowledge and skills) –35
− Communications – 30
− Coordination – 28
− Inspections – 25
− CRM – 16
− Aircraft Systems – 11
− Anti-icing Code – 9
− Ground Equipment (GE) – 8
− Collisions (aircraft to GE = 4; GE to aircraft = 4) – 8
− Fluids – 2
− Weather (including Observations) – 2
− Violation – 1
Problems with procedures include:
− poor procedures,
− non-compliance, and
− lack of knowledge.
Clearly, these have an impact on the number of reports involving communication,
coordination and inspection errors. Thus, it can be inferred that these events may be
occurring due to inadequate training.
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