Comments by "Tony Wilson" (@tonywilson4713) on "How Did EVERYONE Miss THIS!? | Malaysian Airlines Flight 134" video.

@MentourPilot This is some ways reminds me of the Dallas Fort Worth Crash of Delta 1141 which was covered in "Aircraft Investigations." That incident also came back to not following procedures and being distracted, but at a different stage of the flight. The pilots being momentarily distracted at the wrong moment forgot to set the flaps and slats for take-off. There's actually an interesting thing that came out form that regarding checklists. NASA did a study and if you look hard you can still find it. I have a copy somewhere. I found it really interesting because my day job includes writing procedures for commissioning industrial plant. What NASA found was that people have a tendency to skip steps or assume answers if lists are either very short (<8 steps) or if they are too long (>12 steps). They also found its important to have it all on the same side of the card or sheet of paper. In the Dallas crash the co-pilot called the flaps & slats which were the last item on the page and turned it over. The pilot was momentarily distracted by ground radio. because the page had been turned the assumption was the step had been done. Their procedure was over 30 steps. You might or might not notice that many of your procedures are broken into groups with 8-12 steps. That way you can complete a group and then move on. You should also have most procedure groups on the same side of the card or sheet and your training is NEVER to turn to the next page without confirming the END of the procedure with the other pilot as parts of CRM training. Most pilots don't know the history of the 8-12 step procedure or that it came via NASA or that it has affected other industries. Its not infallible but its greatly reduced errors.
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