Cause & Consequence
Other Cause & ConsequenceEvacuation
Backup Contributing Factor
Communication, Complacency, Culture
Description of Process
An aeroplane was engulfed in flames and filled with smoke as it prepared for take of. It was thought the inccident was a direct result of a technical issue.
Description of Incident
Smoke entered the cabin when one exit was opened. This exit was declared unsafe and immediately closed, resulting in one less emergency exit.Passengers ignored safety protocols and grabbed their bags before exiting.Wheeled cases could have ripped the escape slides, rendering them unusable and preventing a safe exit.Cases in the aisle made a confused situation even worse.
Good Practice Guidance
•A clear passageway to all escape routes •Clearly marked escape routes that are as short and direct as possible •Enough exits and routes for all people to escape •Emergency doors which open easily •Emergency lighting where needed •Training for all employees to know and use the escape routes •Provision for people who need assistance •A safe meeting point for staff
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