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Published byFelicity Fitzgerald Modified over 8 years ago
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Office of Aviation Safety Human Performance Bombardier CRJ-200 Pinnacle Airlines Traverse City, Michigan April 12, 2007
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Human Performance Issues Decision-making Fatigue Training
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Decision-making Captain familiar with procedure Crew received updated weather information Adequate time available Pilots were trained and had time to perform landing distance assessment
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Fatigue Accident at 12:43 a.m. 14 hours on duty Four previous landings Cockpit voice recorder contained statements about being tired and yawns
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Fatigue Check airman duties increased captain’s workload during duty day Increased workload likely aggravated fatigue for captain
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Fatigue effects Long duty periods associated with errors/accidents Degrades decision-making Poor decision-making likely reflected the effects of fatigue
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Training Must reinforce the need for calculating landing distance assessments
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Recommendations Hours of service standards Training guidance Fatigue management programs
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