Shift Change Tragedy

Shift Change Tragedy

The podcast details a tragic airline accident involving a Continental Express flight in 1991. The accident was caused by a systemic failure in maintenance and safety culture, resulting in a missing part on the aircraft’s horizontal stabiliser leading to its separation in flight. The article highlights how inadequate maintenance procedures, shift turnovers, and lack of a strong safety culture contributed to the accident. The article also highlights the dissenting opinion of NTSB board member Dr. John K. Lauber who believed senior management’s failure to uphold safety practices played a causal role. This incident ultimately led to the development of Safety Management Systems (SMS) within aviation.