Gerenciamento de segurança operacional: um estudo envolvendo os acidentes com as aeronaves Boeing 737-800 MAX

• Autor(a) principal: Moreira, Leandro Silva
• Data de Publicação: 2020
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório Universitário da Ânima (RUNA)
• Texto Completo: https://repositorio.animaeducacao.com.br/handle/ANIMA/8087
• topic: Segurança operacional; Boeing 737-8 MAX; Falha AOA DISAGREE; Sensor antiestol

This monograph is a study that aims to analyze, within the field of operational safety, the accidents that occurred on Flights JT610 and ET302 involving the aircraft model Boeing 737-8 MAX. It is characterized by being an exploratory and qualitative study. There are several regulatory, inspection and advisory bodies that operate in the sector, as well as various prevention, improvement and updating practices and methodologies that aim to ensure the maintenance of aviation operational safety are disseminated. The human factor has a significant influence in this context. The survey's conclusion showed that the final investigation report involving Flight JT610 exposed that the aircraft's automatic system (MCAS) received incorrect sensor readings, resulting in the AOA DISAGREE failure, which may have triggered other problems. Given the situation, the team was subjected to severe stress, which may have resulted in human errors that corroborated the accident. On the other hand, it has not yet been possible to reach precise conclusions about the tragedy of Flight ET302, since the competent investigative bodies have not published the final report of the case. However, during the analysis of the box that records the flight data, clear similarities were observed between Ethiopian Airlines flight 302 and Lion Air flight 610, which suggests that there is some common fault in these two tragedies. The manufacturer of the model has been promoting maintenance and new updates in order to correct possible failures in the anti-stall sensor.