royal aeronautical society heathrow branch the sir richard ......in 2002 don bateman, father of...
TRANSCRIPT
Royal Aeronautical Society Heathrow Branch
The Sir Richard Fairey Lecture
“Training to Avoid Loss of Control Accidents”
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 1 /165
“Training to Avoid Loss of Control Accidents”
:
Hugh DIBLEY FRAeS, FRIN, CMILT
formerly BOAC/BA, AUH, AHK, MAU, Airbus Toulouse
(Busy slides for reading without audio!)
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 2 /165
Hugh Dibley’s Main Aviation Activities
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 3 /165
Training to Avoid to Loss Of Control Accidents
Main Accident Causes – CFIT (Controlled Flight in Terrain)LoC-I (Loss of Control In Flight)
CFIT now reduced – Read across to LoC-I preventionSymptoms and Causes
Examples of LOC-I - Instrument/system failure mis-handled
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 4 /165
Crew induced on serviceable aircraftExtreme weather – icing, windshearControl/system failure causing upset
Examples of Negative Training
Work across the Industry to Prevent LOC-I
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 5 /165
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 6 /165
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 7 /165
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 8 /165
Same number of accidents
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 9 /165
Why did CFIT decrease? Could have been reduced sooner?
What Have Been the Prime Causes of CFIT?What Have Been the Reasons for CFIT Reduction?
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 10 /165
What Have Been the Prime Causes of CFIT?What Have Been the Reasons for CFIT Reduction?
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 11 /165
What Have Been the Prime Causes of CFIT?What Have Been the Reasons for CFIT Reduction?
3°glidepath to runway
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 12 /165
What Have Been the Prime Causes of CFIT?What Have Been the Reasons for CFIT Reduction?
Since 1970s with DME in line with the Runway,NO excuse for NOT following
Constant 3°path to runway threshold –Using DME – Altitude Display
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 13 /165
Using DME – Altitude Display
or by Altitude regularly calculated mentally -eg at 5 nm DME at Guam –
Approach Altitude = (5+3.3) x 300 + 310 = 2,800ft
What Have Been the Prime Causes of CFIT?What Have Been the Reasons for CFIT Reduction?
Aids existed for crews not skilled in mentalarithmetic – like bookmakers’ clerks calculating betting odds
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 14 /165
What Have Been the Prime Causes of CFIT?What Have Been the Reasons for CFIT Reduction?
Aids existed for crews not skilled in mentalarithmetic – like bookmakers’ clerks calculating betting odds
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 15 /165
Similar to using the improvedADF RMI (Radio Magnetic Indicator) versus an old
RBI (Relative Bearing Indicator)to which Magnetic Heading must be added to calculate the
Magnetic course to the beacon – no longer in use!
What Have Been the Prime Causes of CFIT?What Have Been the Reasons for CFIT Reduction?
Aids existed for crews not skilled in mentalarithmetic – like bookmakers’ clerks calculating betting odds
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 16 /165
Similar to using the improvedADF RMI (Radio Magnetic Indicator) versus an old
RBI (Relative Bearing Indicator)to which Magnetic Heading must be added to calculate the
Magnetic course to the beacon – no longer in use!
RBI – Fixed Card Heading345° MagnetWhat is QDM(Direction M)to the NDB?
= 075+345=420-360 = 60°M
What Have Been the Prime Causes of CFIT?What Have Been the Reasons for CFIT Reduction?
Aids existed for crews not skilled in mentalarithmetic – like bookmakers’ clerks calculating betting odds
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 17 /165
Similar to using the improvedADF RMI (Radio Magnetic Indicator) versus an old
RBI (Relative Bearing Indicator)to which Magnetic Heading must be added to calculate the
Magnetic course to the beacon – no longer in use!
RBI – Fixed Card RMI Heading Mag
What Have Been the Prime Causes of CFIT?What Have Been the Reasons for CFIT Reduction?
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 18 /165
What Have Been the Prime Causes of CFIT?What Have Been the Reasons for CFIT Reduction?
Published VOR-DME approach into Kuala Lumpurin 1976 was about 1.5°thus not sensible as drawn.
Circular slide rule defines a 3°final approachbased on the DME 12.5 nm from the runway.
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 19 /165
What Have Been the Prime Causes of CFIT?What Have Been the Reasons for CFIT Reduction?
In1976 a BAOD 747-136 brushed treesduring a Go Around from a VOR-DME
approach to KUL 16 –The approach procedure started 2,000ft
below a 3°glide path with no DME-Altitudechecks. The approach was a “Black Hole”
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 20 /165
checks. The approach was a “Black Hole”over forest with no visual cues
The approach procedure was revised tofollow a 3°path with DME-Altitude checks,
which were being incorporated on all BAAerad charts and no similar NPA incidents
occurred afterwards in BA.
BA/Aerad Provided DME-Altitude TablesPermitting Constant Angle NPAs starting in 1975
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 21 /165
By the 1980s Most European Authorities providedDME-Altitude Information for Constant Angle NPAs,
But information not universally available.....
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 22 /165
In 1989 Flying Tigers B747 Crashed with the FOflying a VOR-DME Approach in to Kuala Lumpur
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 23 /165
Final Approach Fix Altitude 2,400ftGPWS “Pull Up, Pull Up” ignored for 25 seconds
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RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 25 /165
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 26 /165
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 27 /165
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 28 /165
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 29 /165
CFIT NPAs Continued –In 2002 Don Bateman, father of GPWS/EGPW,
published 9 NPA CFIT accidents which could havebeen saved if EGPWS had been fitted
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 30 /165
But 5 had DME available but no DME-Altitude tableson the charts which could have avoided an accident.
FMS navigation started in the 1970s andnavigation database integrity improved
during the 2000s to allow RNP(Required Navigation Performance) ILS
type approaches without need forground based navigation aids
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 31 /165
RNP Approaches particularly help Charter Operatorswith many NPAs – CFIT accidents should be reduced
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 32 /165
Capt Steve Solomon DFO Thompson Ltd 7 Oct 2010
DME-Altitude Constant Angle NPAs remain a good backup
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Hazards of a “Dive & Drive” NPA Profile
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Approach Unstable – needing pitch, thrust & flap changes
Hazards of a “Dive & Drive” NPA Profile
Unstable profile
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 35 /165
Hazards of a “Dive & Drive” NPA Profile
Chance of hard landing or runway over-run
Approach Unstable – needing pitch, thrust & flap changes
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 36 /165
Experience shows that flying level at MDA while obtaining visual reference,especially in poor visibility, can lead to a late “dive” at the runway and chances
of a hard landing or deep landing with over-run off the end of the runway.
Hazards of a “Dive & Drive” NPA Profile
Missed step can cause terrain accident
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 37 /165
It is easy to misread the chart and miss a step possibly flying into an obstacle.
28 Sep 1992 PIA A300 accident VOR DME approach into Kathmandu.06 Aug 1997 KAL 747 accident LOC No Glidepath DME approach into Guam.
(During an old HKG Kai Tak IGS No Glidepath approach, a UA 747 missed astep and descended early towards the hill on the approach, but the error wasadvised by Hong Kong Approach Radar and the aircraft stopped the descent.)
Benefits of a Constant Angle NPA Profile
Stable Approach – established as many orders safer
Stable approach, landing configuration, no pitch/thrust changes
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 38 /165
NPA Minima may be reduced
6.5% 3.7° 393 f/nm
120 kts 140 kts 160 kts
790 fpm 920 fpm 1,050 fpm
Dist KLO Alt QNH (HAT)
D -7.4 4000' (2584')
D -7.0 3860' (2444')
D -6.0 3470' (2054')
D -5.0 3080' (1664')
D -4.0 2680' (1264')
D -3.3 2390' (974')
D -2.0 1900' (484')
D -1.0 1510' (94')
D -0.9 1470' (54')
DME-Altitude Tables can provide regular checks toconfirm aircraft on the correct profile to 30ft accuracy.Rather than checks at single points which might beinterrupted by ATC request, crew action etc.
A final Comment about Use/Underuse of DME!
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 39 /165
Indicates Prevention of an event is Prime
Interesting that the recommendationsIn the FSF 1998-99 CFIT Task Force
made No mention of DME-Altitude TablesTo Fly
Constant Angle Non Precision Approaches
and One More!
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 40 /165
Constant Angle Non Precision Approachesalthough known to be a prime safety aid.
A proposal that “At night and IMC the FO shall fly theapproach and the captain shall land” was not included.
Don Bateman’s EGPWS is certainly a marvellous aidwhich has contributed incomparably to flight safety.
A B747-400 out ofMauritius which
turned North to flystraight over LionRock as cleared
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 41 /165
Rock as clearedby ATC was saved
by the EGPWSwarning
CFIT remains an accident causeas frequent as LOC-I,
and remains a high priority of
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and remains a high priority ofauthorities such as ICAO
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RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 44 /165
During 3 recent accidents crews have ignored oreven cancelled EGPWS warnings
10 April 2010 Polish Air Force Tu-154 continuedafter Terrain Ahead & Pull Up warnings
20 Apr 2012 Bhoja Air Boeing 737 into Islamabad.Captain continued downwind despite
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 45 /165
Captain continued downwind despiteEGPWS warning and advice from FO.
10 May 2012 Sukhoi Superjet-100 descended belowMSA and into side of volcano
Behaviour can be read across to LOC-I events
Examples of LOC-IInstrument/system failure Mis-handled
Disorientation after Single/Simple Failure
21 Dec 1962 BEA Comet 4B Ankara. After rotation ontakeoff pitched up to 45°& stalled.Captain’s Flight Director was stuck.
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 46 /165
01 Jan 1978 Air India B747 Bombay. After takeoffcaptain rolled to the left into the seaafter his horizon “toppled” in right bank.
22 Dec 1999 Korean Air Cargo Stansted. Aftertakeoff captain rolled left into theground after his horizon failed.
Examples of LOC-IInstrument/system failure Mis-handled
Disorientation after Single/Simple Failure
Solved by improved training andCRM (Crew Resource Management)
(The co-pilot of the Korean B747 could have beenpreoccupied with trying to change to a radio frequency
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 47 /165
preoccupied with trying to change to a radio frequencywhich was not displayed as cleared.
The aircraft had an 833Mhz frequency selector required inEurope while the UK was still using/giving frequencies in the
older spacing.)
Examples of LOC-IInstrument/system failure Mis-handled
Disorientation after Single/Simple Failure
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 48 /165
Examples of LOC-IDisorientation with No apparent Failures
Confusion with AutomaticsManual Handling Skills
03 Jan 04 Flash Airlines B737-300 Sharm el-Sheikh. Aftertake off the aircraft rolled right instead of turningleft reaching 110°bank and crashing into thesea. The (ex military) captain was engaging anddisconnecting the autopilot in different modes.
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 49 /165
disconnecting the autopilot in different modes.
25 Jan 10 Ethiopian Airlines B737-800 Beirut. Aircraft tookoff out of trim which the captain did not correct& lost control of the aircraft reacting incorrectly toprolonged stall warning stick shakers. The captainand co-pilot were both relatively inexperienced.
Examples of LOC-IStalls due to Flap/Slat Mis-Handling?
27 Oct 1965 BEA Vanguard London Heathrow. During aGo Around after the 3rd approach the aircraftpitched up then crashed on the runway in asteep dive. Flaps had been retracted to zero.Flight’s comment: FDRs are Pilot’s Training aids.
18 Jun 1972 BEA Trident London Heathrow. Aircraft stalledafter the co-pilot retracted the droop/slats
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 50 /165
after the co-pilot retracted the droop/slatsprematurely.
12 Feb 2009 Colgan Air Bombardier DHC-8-400 Buffalo. Onapproach after flap selection with speeddecreasing the stall warning sounded. Theco-pilot retracted the flaps & the aircraft stalled.More about this later.
Examples of LOC-IStalls due Excess Thrust Causing Pitch Up at Low Level
26 Apr 1994 China Airlines A300-600 Nagoya. During theapproach the FO applied TOGA thrust in error &pushed forward on the control column while theautopilot trimmed back. The aircraft pitched up,stalled, pitched down & crashed on the runway.The captain tried to arrest the descent by pulling back.
11 Dec 1998 Thai Airways Int A310 Surat Thani. During 2 GoArounds the captain slowly applied TOGA thrust
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 51 /165
Arounds the captain slowly applied TOGA thrustand controlled the pitch up, but on the 3rd GAfor a diversion TOGA was applied rapidly by theautothrust, the aircraft pitched to 45°& crashed.
23 Sep 2007 Thomson Fly B737-300 Bournemouth. After the autothrustdisconnected without warning the autopilot trimmed backto maintain the glideslope. During Go Around theaircraft pitched up with full foward stick and stalled. Thecaptain recovered by reducing thrust & trimming forward.
Examples of LOC-IExtreme Weather – Turbulence Windshear, Icing,
5 Mar 1966 BOAC 707-436 near Mt Fuji. The aircraftencountered severe clear-air turbulence causinga sudden structural failure. Acceleration +9/-4G.
02 Aug 1985 Delta Air Lines L1011 Dallas. Crashed afterencountering a microburst-induced, severewindshear from a developing thunderstorm
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 52 /165
windshear from a developing thunderstormlocated on the final approach course. Windsheardetection/recovery systems were developed.
12 Feb 2009 American Eagle ATR 72 near Chicago. Controlwas lost when holding due to icing causingsudden aileron hinge moment reversal.
Icing – Aircraft may StallBefore the Stall Warning/Stick Pusher
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 53 /165
Examples of LOC-ILoss of Normal Pressure Instruments
6 Feb 1996 Birgenair B757 Puerto Plata. Continued takeoffwith captain’s pitot blocked, control was lostdue to confusion between flight instruments.
01 Oct 1996 AeroPerú B757 Lima. Took off with static ventscovered causing multiple warnings - rudderratio, mach trim, overspeed, underspeed and
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 54 /165
ratio, mach trim, overspeed, underspeed andflying too low. With no reliable barometricaltimeter and airspeed readings & experiencingseveral stalls the aircraft crashed into the sea.
This spurred manufacturers/operators to introduce unreliableairspeed procedures for all aircraft types.
.
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 55 /165
Early aircraft –Input/sensor failures affected single systems
Current aircraft –Input/sensor failures affect multiple systems –With perhaps.....
Examples of LOC-IControl/System Failure Causing Upset
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 56 /165
With perhaps.....multiple consequences .....disconnections .....multiple warnings.....possibly startling –But if crews understand the systems and are prepared –Need not be quite so startling – hopefully!
Airbus A320 – Flight Control Laws Reconfiguration after failures
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 57 /165
Examples of LOC-IControl/System Failure Causing Upset
Table assumes failed systems are flagged invalidInputs/data can “fail” in different ways –
Erroneous/incorrect and flagged as Invalid –Inputs to systems switched off.Reconfigurations made as per design.
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 58 /165
Reconfigurations made as per design.
Erroneous/incorrect but not flagged as invalid –Bad information fed to systems, perhaps causing anomalies(Like 737 into AMS when Radio Altimeter fed 0 ft soautothrust reduced to idle as if landed.)
Unreliable – incorrect but may return to normal
Examples of LOC-IFly By Wire Control/System Failure Causing Upset
1 Aug 2005 Malaysian 777-200 from Perth. When climbingthrough FL380 the airspeed indicated near theoverspeed and stall speed limits. The aircraftpitched up, climbed to FL410 with the airspeeddropping to 158 kt and the stall warning/stickshaker activated. The crew took control andreturned to Perth flying manually throughout.
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 59 /165
returned to Perth flying manually throughout.One of several accelerometers had failedanother accelerometer had failed in June 2001.
7 Oct 2008 Qantas A330 from Perth. ADIRU #1 fed veryhigh false AoA values to the flight controlcomputers commanding a nose-down aircraftpitch of about 8.5 degrees. The aircraft divertedto Learmonth.
Examples of LOC-IClassic Aircraft Control/System Failure Causing Upset
03 Mar 1991 United Airlines 737-200 Colorado Springs.08 Sep 1994 USAir 737-300, near Pittsburgh.
Both aircraft crashed due rudder PCU jammingwhich could reverse the pilots inputs.
The FAA ordered that the servo valves be replaced and thatnew training protocol for pilots to handle unexpected
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 60 /165
new training protocol for pilots to handle unexpectedmovement of flight controls be developed.
Some airlines implemented upset training procedureswhich were not approved by the manufacturers therefore in1998 Airbus, Boeing and McDonnell Douglas published the
Airplane Upset Recovery Aidremains “bible” for Upset Prevention & Upset Training
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Bill Wainwright, Airbus Chief Test Pilot,one of the 3 signatories to the AURTA manual,
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one of the 3 signatories to the AURTA manual,gave more advice in an Upset Recovery article
in the June 1998 Airbus FAST magazine
Bill Wainwright’s Advice
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Prevention is Prime
Bill Wainwright’s AdviceTogether with Boeing & McDonnell Douglas
Do NOT use Rudder in an Upset
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 64 /165
But AA persisted withtheir Upset Recoverypolicy of using rudder
LOC Accidents –American 587 – Airbus A300-600
ex JFK October 2001
Copilot applied full rudder travel both ways after passingthrough B747 wake vortex, thus exceeding the designed loadsof the vertical stabiliser/fin which broke off.
Crews had been trained to use rudder in an upset and flightsimulators’ roll control response modified to require this –
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 65 /165
simulators’ roll control response modified to require this –against the advice of both major aircraft manufacturers.
Indicates the need for upset recovery training to be accordingto the manufacturer’s recommendations, otherwise negativetraining can result.
AA had modified the flightsimulator reaction in roll soonly rudder was effective
Recent LOC-I Accidents –14 Oct 2004 Pinnacle Bombardier CL-600-2B19
Ferry flight – only 2 pilots on boardFailed to monitor autopilot Vertical Speed Mode climbing to FL410,
Speed reduced to stall which was not recovered.Should have been prevented by improved knowledge of aerodynamics
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 66 /165
Should have been prevented by improved knowledge of aerodynamicsand thus use of automatics –(There is an official view that crews must not VS mode as the modenot understood. This indicates a failure in training.VS has to be used routinely when climbing fast in busy airspace toavoid unnecessary ACAS/collision avoidance warnings, etc.)Could have been recovered by better knowledge of aerodynamics and ifhad been given proper stall/stick pusher training..
Avoided by proper crew discipline.
Most Significant LOC-I Accident
Colgan Air - Bombardier DHC-8-40012th February 2009
Crew airspeed monitoring lapsed – due to fatigue?Speed reduced after flap selected & stick shaker activatedFO had discussed icing several times during flight –Had seen NASA tailplane icing video instructing flap retraction
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 67 /165
Had seen NASA tailplane icing video instructing flap retractionReacted as per training video to retract flaps & pull aft stick?Should have been prevented by type training on tailplane icingCould have been recovered by training/knowledge for type.
Most Significant LOC-I Accident
Colgan Air - Bombardier DHC-8-40012th February 2009
NASA Tailplane Icing Video
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 68 /165
Colgan Air Cockpit Voice Recorder
Captain pulled back on stick as per NASA video?
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FO Retracted the flaps
Video of Colgan Air Bombardier Accident into Buffalo
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Colgan Air Bombardier Accident into Buffalo
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 71 /165
Colgan Air Bombardier Accident into Buffalo
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NASA Icing Video showed aircraft with a similar configurationto Colgan Air – High wing turboprop with high T tailplane
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Most Significant LOC-I AccidentFamilies of those lost formed a focus group & website
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Families of passengers killedIn the Colgan Airways Accident
into BuffaloLobbied congress to
Pass a Law
Most Significant LOC-I Accident
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 75 /165
Pass a LawRequiring Stall Training
For All Airline Pilotsand more hours’ experience.
(New president & administration)
US Law
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US Law
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Large Number ofLoss Of Control / Stall-Stick Pusher Related Groups
Set Up/Existing in the Industry
FAA Stall and Sticker Pusher GroupRAeS ICATEEICAO LOCART etc etc
Other activities:
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Other activities:ITQI (IATA Training & Quality Initiative) leading toEBT (Evidence Based Training)MPL (Multi-Crew Pilot’s Licence)ICAO NGAP (Next Group of Aviation Professionals)RAeS FSG IWG (International [Flt Sim Stds] Working Group)RAeS IPTC (International Pilot Training Consortium)EASA Rule Making Tasks
FAA Advisory Circular 6th August 2012...to provide best practices and guidance
for training, testing, and checking forpilots, within existing regulations, to
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 79 /165
pilots, within existing regulations, toensure correct and consistent responses
to unexpected stall warnings and stickpusher activations
FAA Stall Training ACRequirement for Instructors to HighlightFull Flight Simulator Motion Limitations
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Development of Simulation
Angular motions are sensed in humans by canals in the inner ear
5. Motion Systems
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Development of Simulation
Angular motions are sensed in humans by canals in the inner ear
5. Motion Systems
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computeaerodynamic
computeaerodynamic convert axes
stability to body
and moment
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compute a,b
a,b
P,Q,Rengine forces
r ,MXp,Zp
Xs,Ys,Zs
Xb,Yb,Zb U',V',W'
U,V,W
Ps,Qs,Rs
Vc
r
a,a ,b,b' '
and moments,M
Vc,
Vc,
Development of Simulation
The inputs to the motion platform are calculated by the Equations of Motion
5. Motion Systems
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 83 /165
coefficients
computeaerodynamic
and moment
moments
convert axesstability to body
compute angularaccelerations
computeEuler compute DCM
convert axesbody to Euler
convert axesbody to stability
atmosphericmodel
P',Q',R'
Ps,Qs,Rs
L,M,N
r, M
P,Q,Re0,e1,e2,e3
inceptorsLp,Mp,Np
r
inceptors
and moments
q,f,y
U,V,W
Vx,Vy,Vz
Pn,Pe,h
Ls,Ms,Ns
,M
parameters
Development of Simulation
As movement is limited, platform motion must be washed out ready for next event
5. Motion Systems
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 84 /165
Centrifuges are needed for high G acceleration (seen only in civil aircraft rejected takeoffs)
Development of Simulation
Acceleration sense available from motion platform
5. Motion Systems
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 85 /165
1g
Development of Simulation
Acceleration sense available from motion platform
5. Motion Systems
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1g
Development of Simulation
Acceleration sense available from motion platform
5. Motion Systems
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 87 /165
1g
Development of Simulation
Acceleration sense available from motion platform
5. Motion Systems
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 88 /165
1g
1g * Sin 20° = 0,34
Development of Simulation
Acceleration sense available from motion platform
5. Motion Systems
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 89 /165
1g
1g * Sin 20° = 0,34g
1g * Cos 20° =0,94g
20°
Maintaining ControlThe ICATEE Approach
RAeS Flight Crew Training Conference27 September 2012Dr. Sunjoo Advani, Chairman of ICATEE
901Royal Aeronautical SocietyFlight Simulation Group
ICATEE
• International Committee for Aviation Training inExtended Envelopes
• Initiated by RAeS Flight Simulation Group in June 2009
• MISSION: To deliver a comprehensive long-term strategyto reduce the rate of Loss of Control In-Flight accidents
91
to reduce the rate of Loss of Control In-Flight accidentsand incidents through enhanced UPRT
• Approach: Upset Prevention and Recovery Training
• Provide recommendations to ICAO, FAA and industry
ICATEE Participants
Category Participants
Organization RAeS-FSG, ICAO
Airframe Manufacturer Boeing, Airbus, Bombardier
Regulator/Government FAA, NTSB, IATA (ITQI/EBT), Transport Canada, EASA, Russian CAA
Training Provider CAE, FlightSafety, Boeing Flight Training, APS, CALSPAN, Embry-Riddle
Simulation Provider CAE, FlightSafety, Thales, Opinicus, ETC, Bihrle
9292
45 organizations, over 80 individuals
Industry Body ALPA, IFALPA, ATA, BBGA
Airline KLM, Alaska, Flybe, FedEx, Air Canada, Lufthansa, several airlines
Research AIAA MSTC, NASA, UTIAS, NLR, TNO, IDT, DLR, U Liverpool, SOS, Volpe
ICATEE Meetings to Date
1 11-09 London
2 03-10 Washington
3 04-10 Orlando
4 06-10 London
5 11-10 Oklahoma
6 03-11 Mesa
7 04-11 Daytona
9393
7 04-11 Daytona
8 04-11 Orlando
9 06-11 Amsterdam
10 08-11 Seattle
11 09-11 Montreal
12 11-11 London
13 04-12 Lutz
14 09-12 Cologne
ICATEE Team
9494
ICAO, Montreal - September 2011
Loss-of-Control In-Flight
• Normal flight
• Upset
• Loss-of-Control
PreventionPrevention
RecoveryRecovery
9595
Today’s Training Assumptions
1. Aircraft is within normal operational envelope and ina non-agitated flight condition
2. Situational awareness and information can beaccurately correlated by the pilot with respect toobserved flight condition
3. Airplane handling skills and strategies established by
96
3. Airplane handling skills and strategies established byregulatory licensing can directly resolve anescalating condition
4. Human psychophysical response is predictable andreliable.
96
All-Attitude Daily Threat
All-Attitude Knowledge Deficiencies
Roll (Right)Roll (Left)
Pitch (+up)+ 90
o
+ 50o
+ 30o
+ 25o
+ 10o
- 10o
60o
90o 180o180o 135o135o
45o
100 % All-Attitude Training (180 AOB, +/- 90 Pitch)
97
11.1 % Max Licensing Limits (60 AOB, +/-30 Pitch)
4.9 %
Upset DefinitionUpset Definition
Airplane Upset RecoveryAirplane Upset RecoveryTraining AidTraining Aid
Upset Definition (45 AOB, +25 & -10 Pitch)
Pitch (-down)
- 50o
- 90o
All-Attitude Daily Threat
All-Attitude Knowledge Deficiencies
Roll (Right)Roll (Left)
Pitch (+up)+ 90
o
+ 50o
+ 30o
+ 25o
+ 10o
- 10o
60o
90o 180o180o 135o135o
45o
100 % All-Attitude Training (180 AOB, +/- 90 Pitch)
98
11.1 % Max Licensing Limits (60 AOB, +/-30 Pitch)
4.9 %
Upset DefinitionUpset Definition
Airplane Upset RecoveryAirplane Upset RecoveryTraining AidTraining Aid
Upset Definition (45 AOB, +25 & -10 Pitch)
Pitch (-down)
- 50o
- 90o
Approximate limits, Colgan 3407
All-envelope knowledge deficiencies
L/D MaxL/D Max
Stall WarningStall Warning
Full StallFull Stall
9999
4-Psychophysical response is predictable & reliable
STARTLE
100100
Training Assumptions
1. Aircraft is within normal operational envelope and ina non-agitated flight condition
2. Situational awareness and information can beaccurately correlated by the pilot with respect toobserved flight condition
3. Airplane handling skills and strategies established by
101Flight Simulation Group - Royal Aeronautical Society - London, UK
3. Airplane handling skills and strategies established byregulatory licensing can directly resolve anescalating condition
4. Human psychophysical response is predictable andreliable.
101
Upset Mitigation Levels
• Awareness
– Knowledge, Skills and Attitudes to prevent an Upset
• Recognition & Avoidance
– mitigation of a developing threat, as early as possible
• Recovery skills to regain control
P
R
102102
R
Prevent undesirable aircraft states
Current Training
Loss-of-Control
Upsetincapacitation
103103
Normal flight
first recognition
recoveryawareness
Enhanced UPRT
Loss-of-Control
Upset
incapacitation
104104
Normal flight
first recognition recovery
awareness
Learning Elements
Competency-based approachto UPRT
105105
to UPRT
Developing Integrated UPRT Skills
FSTD
aircraft
UPRT RequiresIntegrated Training
Elements
UPRT RequiresIntegrated Training
Elements
106106
AcademicsElementsElements
Element 1 - Academics
• Airplane Upset Recovery TrainingAid (1998) is the industry reference
• New ICATEE UPRT Manuals
– Pilot Academic Knowledge & SkillPreparation
– Instructor Guidance in UPRT
107107
– Instructor Guidance in UPRT
– Authorized Training Providers
– Regulatory Guidance
Element 2 - Airplane
• Exposure to
– Psychological component
– Physiological component
– Accurate recovery environment
• Require
– qualified aircraft
108108
– qualified aircraft
– qualified instructors
CALSPANAPSTTCTCA
• Upset Prevention & Recovery Training is NOTAerobatic Training
– Aerobatics focuses on precision maneuvers for aerobaticpilots
• UPRT focuses on recovery from dangeroussituations, and is designed for commercial pilots
Element 2 - Airplane
109109
situations, and is designed for commercial pilots
• UPRT includes significant surprise elements
• Management of startle
• Training of instructors
Element 3: Appropriate Use of FSTD’s
• Better use of today’s devices
• Enhanced feedback in today’ssim’s
• Improved simulation fidelity inextended envelope
11010
– aero model
– pilot cueing (buffet, motion)
graduatedapproach
UPRT learning objectives
FSTD A/CEITHER
111111
• FSTD + All-Envelope All-Attitude A/C skills needed
• Current pilot fleet possibly had adequate on-aircraftcomponent
• A/C exposure can be very small, if done properly
• Despite few training elements, UPRT a/c training is critical
UPRT Instruction
112112
UPRT Instruction
• Instructor Inputs• upset initiation
• surprise-inducing situations
• LOC training scenarios
• Instructor feedback
113113
• Did you stay reasonably within thevalidated flight envelope?
• Did you over stress the airframe?
• Did you apply incorrect/inappropriatecontrol inputs?
• Did you recover?
Instructor Feedback
• UPRT is NOT about flying on the edge of theenvelope
• Bring the aircraft back to the heart of the envelope,THEN maneuver!
• Challenge: Provide the right tools for instructor andpilot
114
pilot
114
IOS Feedback
117117
3
2
1
Lo
ad
Facto
r
Flapsdown
Flaps up
VS1 = flaps up 1-g stallspeed
VA = design maneuverspeed, flaps up
VC = design structured
Load Factor Envelope Showing Speeds and Load Factors
118
0
-1
Airspeed
VS1 VA VC VD
Flaps up
VC = design structuredcruising speed
VD = design divespeed
-2
118
Controls usage
119119
AVOID NEGATIVETRAINING
AVOID NEGATIVETRAINING
12010Flight Simulation Group - Royal Aeronautical Society - London, UK
120
TRAININGTRAINING
UPRT Simulation Requirements
• Simulation requirements specify
– Representative stall model characteristics
– Performance tests for high-altitude stalls
– Tighter objective performance standards inapproach-to-stall region
– Stall evaluations for additional flight conditions
121121
– Stall evaluations for additional flight conditions
– Objective stick pusher force tests
– Objective buffet tests for additional flightconditions
– Buffet onset requirements
– Improved icing model
– Wake vortex modelling
Simulator-Based UPRT
• Learning Objective:
– Managing angle-of-attack / energy
– Recognizing and reacting to signs
• buffet
• reduced lateral control
• reduced stability
122
• reduced stability
• Main objective: UNLOADING
– Maneuver-oriented familiarization: Experience a full stallunder standardized instruction
– Line-oriented training/checking: Recognize and applyrecovery at FIRST SIGNS
122
Training media
123123
Training media
124124
Deliverables
• Recommendations to FAA:
– Stall/Stick-Pusher WG
– Stick Pusher Adverse Weather ARC
• ICAO
– Manual of Upset Prevention & Recovery Training
✓
✓
125125
• Regulatory framework for pilot, instructor, trainingprovider
– Simulator technical standards appendix (9625 or other)
• RAeS Report
– ICATEE UPRT Research and Technology Report
• IATA FSTD Data Document revisions
✓
✓
Take-Away
• Loss of Control in Flight can be mitigated throughintegrated Upset Prevention and Recovery Training
– Academics
– In-Flight
– Simulator
• Simulator Standards Recommendations
126
• Simulator Standards Recommendations– Improved simulator usage, scenarios, IOS, model
• ICATEE is working with industry to improve thetraining paradigm, effectively.
www.icatee.org
[email protected]@idt-engineering.com
+31 655 737 345+31 655 737 345
Sunjoo AdvaniSunjoo Advani
127127
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 128 /165
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 129 /165
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 130 /165
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 131 /165
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 132 /165
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 133 /165
2 pilots & Flight Engineer
2 pilots
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 134 /165
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 135 /165
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 136 /165
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 137 /165
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 138 /165
Dealing with Black Swans
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 139 /165
Some Black Swans?
Examples of Crew actions saving loss of life :
Eric Gennotte’s crewlanded a A300 B4 withno hydraulics usingdifferential engine thrustalone after hit by missileat Baghdad
Captain Peter Burkillretracted the 777 flaps to
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 140 /165
retracted the 777 flaps toreduce drag thus avoidingfences before the runwaywhen engines lost thruston final approach into LHR
Captain Sullenbergerstarted the APU out ofsequence to keep the A320powered normally whenditching in the Hudson
Other Black Swans?
Examples of Failures requiring Considerable Crew Activity :
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 141 /165
After an A380 engine 2 uncontained failure, while the aircraft wasbeing flown manually, Richard de Crespigny’s crew had to action 53ECAM messages taking some 50 minutes to complete.It took the 5 man crew some 2 hours to prepare the aircraft forlanding. When on the ground they still had matters to resolve –engine 2 could not be shut down, wheels brakes reached 900°C.
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 142 /165
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 143 /165
PRIORITIZATION OF TRAINING TOPICS
1.50
2.00
2.50
Gen1
Gen2
Gen3
Gen4
Factors in accidents / 1M TOs - Last 15 years
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 144 /165
0.00
0.50
1.00
PRIORITIZATION OF TRAINING TOPICS
25%
30%
35%
40%
45% Gen1
Gen2
Gen3
Gen4
What % of accidents had each factor - Last 15 years
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 145 /165
0%
5%
10%
15%
20%
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 146 /165
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 147 /165
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RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 149 /165
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RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 151 /165
EASA’s Rule Making Tasks
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 152 /165
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 153 /165
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RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 155 /165
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 156 /165
Training toAvoid to Loss Of Control Accidents
Prevention is Prime,Eliminate the Cause.
Everything is important
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 157 /165
Everything is importantRight from the start –
Pre-selection to...........retirement....
Cruise – Crews Need to be Aware of Aircraft PerformanceTable of Airbus A320 All Engines and Engine Out information – easier to access than FMS.All Engines Max Altitude is always limited by Climb Thrust. Available after FMS failure.
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 158 /165
Paper type presentations can still be useful,giving essentials of aircraft performance
for background knowledge & gross error checks -Cruise Speeds, Thrust & Attitude,
Max/Optimum Altitudes - all engines & engine outTakeoff/Landing Speeds & distances
Training toAvoid to Loss Of Control Accidents
Manual flying practiceversus rigid use of automatics -
Trident, 747, DC10, TriStar
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 159 /165
Trident, 747, DC10, TriStardifferent policies.
FDR event if flown manually?Whatever system we aim for:
from Capt David Mason of Emirates
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 160 /165
Remember
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 161 /165
Remember
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 162 /165
MCC Courses
All airline pilots must pass aMulti-Crew Cooperation Course
These concentrate on the fact that:We all make mistakes,
We should admit our mistakes/we were wrong
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 163 /165
We should admit our mistakes/we were wrong
We must help each other work together for thecommon good – of not having an accident.
MCC Courses should becompulsory for bankers!
Thank you
RAeS Heathrow Branch Sir Richard Fairey Lecture Hugh DIBLEY : “Training to Avoid Loss of Control Accidents” 16oct 12 164 /165
Thank you