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Complex failure modes in complex systems, a case study

Complex failure modes in Complex systems, acase study : qantas A330 flight 72, Singapore-Perth, 7thOctober 2008 Jim Thomson, 2015 Complex systems almost always fail in Complex ways. Columbia Accident Investigation Board Report, August 2003 (c) 2015 Slide 1 qantas A330 upset , 7 October (c) 2015 Slide 2 Greater than -1g for just less than two secondsSee ATSB animation at of Attack (AOA) vs Pitch (c) 2015 Slide 3 The pilot cannot readily sense the Angle of Attack he relies on : ring-laser gyroscopes Modern Inertial Reference Units use ring laser gyroscopesto provide raw data.

Complex failure modes in complex systems, a case study: Qantas A330 flight 72, Singapore-Perth, 7th October 2008 Jim Thomson, www.safetyinengineering.com March 2015

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