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Extra info for 德川家康04：兵变本能寺(Tokugawa Ieyasu, Book 4)
So, is the current airline pilot training system efficiently providing the competences needed for a resilient system? The worldwide celebration of the heroic behaviour of Flight 1549 crew speaks by itself: Captain Sullenberger’s skills have been attributed to his personal talent, his past experience as a glider pilot, rather than to his specific airline pilot training. The ‘ACCOMPLI’ project is a three year (2006–2009) research project funded by the French DGAC, aimed at developing pilots training approval criteria based on pilot cognitive competence development.
From Safety Strategies to Resilience Engineering at the System Level While it does not officially uses the word ‘resilience’ (yet), the aviation community has its own way of recognising a hierarchy of disturbance, from normal to totally abnormal situations. Three main ‘operational safety domains’ are commonly referred to: 1. A ‘normal operation’ envelope inside which, more or less, the course of events follows pre-defined tracks, people follow procedures or expected behaviour, parameters stay within design limitations, and variations are compensated and absorbed by intrinsic flexibility within the system.
Finally, all this boils down to the optimality/brittleness trade-off constraining the behavior of any complex adaptive system (Doyle, 2000). Such a system cannot be at the same time totally adapted to its environment (optimally performing) and able to cope with disruptive changes in that environment (resilient). Adapted or adaptive, an inescapable choice has to be made. Chapter 2 Lessons from the Hudson Jean Pariès Things that have never happened before happen all the time. Scott D. Sagan (The Limits of Safety) The successful ditching of US Airways Flight 1549 into the Hudson River (15th January 2009) shows an implementation of the ‘strategic resilience’ engineered into the aviation system – in this case, the multiple layers of ‘defence in depth’ set up by to manage a total engine failure in the context of bird ingestion.
德川家康04：兵变本能寺(Tokugawa Ieyasu, Book 4) by 山冈庄八