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@bUpdate the title following the format: Jan 01, 2023 - RCA Name

📋Incident overview

Postmortem owner

Hamza Ali

Airframe

Tube

Related incidents

Apr 09 Flight Test

Incident date

Approx. Damage Costs

$25

Report Date

🔮 Executive summary

  • Pilot lost orientation of aircraft

  • Pilot crashed aircraft

  • Noticed no puncture in any of the cells, decided to transport back to the bay

  • Got to the bay, noticed battery was slightly warmer than other 3S packs

  • Attempted to communicate with safety office, got deferred to special constable (off hours)

  • Special Constable came, investigated the situation

  • Special Constable attempted to contact the safety office, unsuccessful, directed to contact the fire department

  • Fire department concluded no risk, and left

  • Special

⏱ Incident timeline

Describe (approximate) timelines, cross-correlate with telemetry/video recordings/etc if any.

⛑ Postmortem report

Instructions

Report

(warning) Leadup

List the sequence of events that led to the incident.

🙅‍♀️ Fault

Describe what didn't work as expected. If available, include relevant data visualizations.

👁 Detection

Report when the team detected the incident and how they knew it was happening. Describe how the team could've improved time to detection.

🙋‍♂️ Response

Report who responded to the incident and describe what they did at what times. Include any delays or obstacles to responding.

🙆‍♀️ Recovery

Report how the user impact was mitigated and when the incident was deemed resolved. Describe how the team could've improved time to mitigation.

🔎Five whys root cause identification

Run a 5-whys analysis to understand the true causes of the incident.

🗃Related records

Check if any past incidents could've had the same root cause. Note what mitigation was attempted in those incidents and ask why this incident occurred again.

🤔 Lessons learned

Describe what you learned, what went well, and how you can improve.

✅ Recommendations for future

Actionable Recommendation

Reasoning

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