Edition 37 JUNE 2015

Edition 37 JUNE 2015
SAFE WINGS
Flight Safety Magazine of Air India, Air India Express and Alliance Air
Issue 37, JUNE 2015
This issue…
 Fly The Dog By
Capt Pat BOONE
* For Internal Circulation Only
SAFE WINGS
June Edition 37
Intentionally left blank
1|Page
Flight Safety Magazine of Air India, Air India Express and
Alliance Air
June Edition 37
Flight Safety Magazine of Air India, Air India Express and
Alliance Air
SAFE WINGS
2|Page
SAFE WINGS
PHOTO:
June Edition 37
Brett B. Despain
Fly the
Dog
by Captain Pat BOONE
Pilot errors from a pilot perspective
While aircraft systems have become more reliable over time, pilot human
behavior becomes the most critical factor affecting aviation safety today.
Simulator training often focuses on flying skills and the correct execution of
emergency checklists and standard operating procedures (SOPs). However,
statistics show that aircraft accidents seldom involve typical simulator trained
failures. Should we focus on something else?
Engine failure, loss of all electric generators or cabin decompression rarely result in fatal
accidents, although the latter one can become overwhelming. An inextinguishable engine fire is
not a life-threatening event, despite scare stories that the wing drops off if the engine burns for
10 minutes or more. Similar to the Loch Ness monster, no one has ever experienced this event
in a modern aircraft. All-engine flameout due to heavy rain, ice crystals or volcanic ash has
occurred in real life, but has not led to a fatal crash in the past few decades.
I would even go as far as to say that none of the failures instructed in the simulator, if they are
managed correctly with an appropriate flight crew response, ever compromise the aircraft to the
extent of a fatal crash, except for the following:
 Jammed or restricted flight controls: Your aircraft is not responding to control wheel inputs,
or a flight control is jammed fully deflected. I recommend to try to regain control through
flight controls and engine secondary effects.
 Unreliable flight instruments: Airspeed, altimeter or attitude indicators showing confusing or
even contradictory values, for example overspeed and stall warning go off simultaneously. My
3|Page
Flight Safety Magazine of Air India, Air India Express and
Alliance Air
June Edition 37
SAFE WINGS
advice is to freeze the aircraft attitude for a few seconds until both pilots determine which
indicator is working correctly.
 Cabin fire: Any fire starting inside the fuselage can destroy the aircraft in only a few minutes.
Videos on the internet show flames coming out the aircraft ceiling only minutes after the fire
ignited. My advice is to initiate an immediate descent and consider an off-field landing as
soon as the cabin crew reports flame height exceeding 1 meter / 3 feet, even when crossing
40 west over the Atlantic.
This doesn’t mean simulator training is useless. On the contrary you need to practice those skills
in order to fly the aircraft safely. However, simulator training should not solely focus on typerating requirements.
In fact, if you double or triple the simulator hours, almost anyone, including your mother in law,
can fly an ILS without any previous flying experience.
So, why are we still crashing airplanes? Why do aircraft
in perfect condition continue to skid off the runway
every month? It’s no secret that 6 out of 10 accidents
are caused by pilot error, of which nearly half during
landing. Flying an ILS with perfect precision does not make you a safe pilot. It’s not pilot skills,
but people skills that make the difference between an ordinary pilot and a safe pilot. Becoming a
safe pilot should be your ultimate goal.
“Flying a perfect ILS does not
make you a safe pilot.”
While pilot error can never be eradicated, there are two areas in which I believe, from a pilot
perspective, it is possible to make the difference and become safer pilots. These areas are selfdiscipline and Cockpit Resource Management (CRM).
Self-discipline
Besides flying skills and sound judgment, self-discipline is the third keystone of good airmanship.
Unfortunately, there are several occasions where safety can be jeopardized, even by
experienced pilots, due to lack of self-discipline. It can be something as simple as poor
handwriting.
Handwriting
It may sound pedantic that I refer back to what you
were taught many years ago, but some pilot’s
handwriting is similar to that of doctors. Illegible
handwriting compromises flight safety!
Multiple times a year the loadsheet comes in with
invalid weights simply because the initial numbers
prepared by the flight crew were unreadable.
Is takeoff weight 146.000 or 156.000 kg?
Is CG for landing 24.0 or 29.0 units?
Last year the airline had an in-flight engine
shutdown due to poor handwriting. An excessive
Flight Safety Magazine of Air India, Air India Express and
Alliance Air
4|Page
SAFE WINGS
June Edition 37
fuel imbalance noticed on takeoff was interpreted as a major fuel leak because of an unclear
remaining fuel entry in the Tech Log by the previous crew.
Keep in mind that fellow pilots and ground personal may come from other cultures using
different alphabets. Simple numbers may be interpreted incorrectly when your handwriting is
not clear.
It requires extra effort and self-discipline to write clearly. I strongly recommend to use
unambiguous handwriting whenever you take down the weather, prepare the loadsheet, order
fuel or calculate aircraft performance.
Use of checklists
It is very unusual for pilots to deliberately skip the checklist. On long taxi routes to a distant
takeoff runway there is an increased risk that the crew gets distracted by non-operational
chitchat and consequently an increased risk of forgetting the before takeoff checklist.
However, even more important is the way the checklist is completed. If you read and reply to
checklist items without looking at the switches, it reduces the effectiveness of the checklist to
nothing! I am surprised by the normal checklists of a major manufacturer where the first-officer
does the overhead panel setup, he or she reads the checklist items and then responds to the
items him or herself. The typical verbal challenge and response crosscheck is completely wiped
out here. It takes an enormous level of self-discipline for the captain to concentrate and actively
follow the checklist and not be distracted by ground personal calling the flight deck, by cabin
crew reporting boarding issues or by any other source…
My advice to co-pilots is to monitor your captain while you read the checklist. If you notice any
inattentiveness, simply stop the checklist until your silence wakes up the old man and he returns
focus. Unfortunately,
I notice that most co-pilots simply continue the checklist when I grasp
my cell phone for an incoming text message…
Reading checklists, up to 30 times on a commuter pilot working day, is a routine task and
therefore increases the risk that the checklist is accomplished without the pilots attentively
verifying switch position and flight deck indications. Pilots onboard a Spanish MD-82 verbally
confirmed flaps set for takeoff while reading the
checklist. A few minutes later the aircraft
crashed on departure with the flaps up.
Standard Operating Procedures
The Spanish MD-82 crashed on takeoff with
flaps not selected
5|Page
Standard operating procedures (SOPs) are
different for each airline and often change
when training staff are renewed. Pilots
changing company every season may also have
a hard time applying the new SOPs.
Flight Safety Magazine of Air India, Air India Express and
Alliance Air
June Edition 37
SAFE WINGS
SOPs distribute tasks between two pilots on a multi-crew flight deck. Each pilot knows what
button to press and what call-out is to be given or is expected. SOPs make two cogwheels turn
in sequence and guarantee that all flight deck tasks are done in a methodical way. But that’s not
all.
SOPs may look weird and it may sometimes be difficult to understand the thinking that went
behind the creation of a particular SOP in the first place. Often SOPs were created in retrospect
to prevent pilot errors that have led to fatal accidents. A few years ago, all crew members and
passengers on a Cypriot 737 aircraft lost consciousness as the aircraft climbed with the cabin
unpressurized. The aircraft continued on autopilot and crashed one hour later after running out
of fuel.
Sometime later, several companies updated their SOPs by including an extra check on the
pressurization system during initial climb.
Therefore, even if you do not always understand or agree with a company SOPs, you should
always adhere to these procedures. Again this requires self-discipline day-in day-out.
Switching and monitoring
Here we go again. You know how to turn on the radio since you were 2 years old.
Nevertheless, in many aircraft accidents, switching appeared to be the cause of the accident.
The crew believed to have switched the system ON or to have engaged the autopilot in the
required mode, but the switch was never placed into the correct position or the system failed to
respond correctly when the switch was selected.
Let’s review basic switching in slow motion by breaking it down into 4 steps;
 Step 1: Take the correct switch – switches on the flight deck look alike and there is the risk of
selecting the wrong switch. You would not be the first 737 pilot to breakout of cloud and
turn-off hydraulic system B instead of engine anti-ice.
A few years ago a co-pilot rolled the airplane in a 130
degrees bank angle by rotating the rudder trim
instead of the door unlock.
 Step 2: Prior to moving the switch, query yourself on
system indications you expect to see – that’s easy
when you select the autobrakes for landing. But how
about duct pressure when you select the airconditioning from NORMAL to HIGH flow mode? Do
you expect duct pressure to remain unchanged, drop
or increase? Did you know there are 8 (!) indications
on a typical Boeing flight deck when you select engine
anti-ice to ON, which I am sure you did hundreds of
times by now. Do you know what they are?
The Hydraulic Pump switches can be
mistaken for Engine Anti-Ice switches
Flight Safety Magazine of Air India, Air India Express and
Alliance Air
6|Page
SAFE WINGS
June Edition 37
 Step 3: Move the switch into the correct position – this comment is especially true for pilots
flying multiple aircraft models or variants and for new factory delivered aircraft where
identical switches may have different selections.
 Step 4: Monitor the actions that you listed in step 2 – positively verify all lights and indicators
display as expected.
Now, which step is the most difficult one? For pilots new on aircraft type, step 2 is probably the
difficult one. Sad to say, some pilots with years of experience on aircraft type appear also unable
to list flight deck responses to switch selection.
However, for experienced pilots step 4 is the stumbling block. Flying the same aircraft model for
25 years now, I have selected every switch on the flight deck some 25,000 times. Can you
imagine how much self-discipline it requires from me to look at that light as if it’s my first time
seeing it come on? It is awfully boring to look at that panel day-after-day to ensure the system is
responding as expected! That early morning, when you are still drowsy after too little sleep, the
system or autopilot does not respond to your switching and you do not notice it. These are the
errors that kill you! The day you believe the system never fails, because it has worked for years,
is the day you crash!
A Turkish 737 crashed during approach into
Amsterdam with the autothrottle system switched
ON. Despite an additional safety pilot on the flight
deck, the autothrottle system was left unmonitored
by the crew and failed that day… The same system was left unmonitored in the Korean 777
accident at San Francisco where the autothrottle went into an unexpected HOLD mode instead
of SPEED mode. In many accident reports you read that system behavior or malfunction was
clearly indicated on the flight deck, but both pilots failed to notice it!
“The day you believe the system
never fails, is the day you crash!”
Know the books
There was a time when I questioned trainees about terrain heights as shown on the map display.
Do you know the values indicated by
green-amber-red ?
Astonishingly 9 out of 10 pilots could
not answer my question. Answers
varied from “green is euh… I think
minus 2000 feet, or… was it minus 500
feet, euh, don’t remember” to “it’s
4000 feet for sure, I did my line check
last week, sure” to “what a stupid
question”. None of those was the
correct answer.
Typical map display with terrain relative height
indicated with different colors green-amber-red
7|Page
Flight Safety Magazine of Air India, Air India Express and
Alliance Air
June Edition 37
SAFE WINGS
The same green-amber-red color question could also be asked for N1 engine display.
Some pilots felt offended by my questioning, so I stopped asking.
Imagine you are hospitalized for surgery and you are laying on the operating table. The doctor
is about open you up with a brand new laser gizmo. But when you ask him about the greenamber-red lights on his new toy, he goes like “euh, minus 2000, or, was it plus 500, euh, don’t
remember…” I’m pretty sure you stand-up and you run for your life.
Each aircraft accident involves a double investigation. The first one is the technical investigation
where investigators try to find the cause of the accident, such as human error or a technical
malfunction. The report contains recommendations to the airline training department, to Air
Traffic Control, the aircraft manufacturer and to anyone else in the chain of events.
But there is a second parallel investigation, never shown on television… The juridical
investigation; who’s responsible and who is going to pay? Payments for surviving relatives and
medical care for injured passengers are expensive and somebody has to be held accountable.
Don’t worry, even in the case of pilot error, you will not have to pay yourself – your company’s
insurance covers that. But, as a pilot and a human being, you may be held responsible.
So, there is that 12-men jury, sitting in front of you. Some of them are not pilots, they cannot tell
the difference between a B707 and an A380, both have two wings and four engines.
But they do know the difference between green-amber-red simply because they have the books
open in front of them. And they will tell you “dear pilot, on page 872 it says; green-amber-red
is… And you did not know that?” After which, depending on the country where you happen to
live, you may get convicted of negligent manslaughter.
As a pilot, your career is over. But also as a human being, your life is over. In a way of speaking,
of every ten pilots surviving an aircraft accident, two commit suicide because they cannot live
with the thought of being held responsible for the death of passengers or fellow crew, two end
up in a mental hospital for the same reasons, two find themselves in a wheelchair, two end up in
prison and the last two lose their jobs. It is very seldom that a pilot continues flying after
surviving an accident with injuries that is tagged Pilot Error... From heaven to hell in a split
second.
Do you want your career and life (and that of many others) to end just because you didn’t know
the numbers? Make sure you always know the books. Trainees that passed their theoretical
exams a few weeks ago have already forgotten a substantial part of the theoretical stuff. After
all, we are humans, not computers, and there are tons of papers to be learned. Therefore, make
sure you review the books on a regular basis. With a busy social life, this requires a lot of selfdiscipline. Don’t wait until your next simulator check ride. That is only an expensive game toy.
The real check ride is today and tomorrow, with real aircraft and real passengers!
As a side note, airline companies should transition from a blaming culture to a work climate of
understanding. Internal safety investigations must focus on human factors that contributed to
Flight Safety Magazine of Air India, Air India Express and
Alliance Air
8|Page
SAFE WINGS
June Edition 37
the incident rather than assaulting and accusing pilot error. This new culture returns more
valuable feedback for the company and the aviation community.
Reference values
Can you instantly recall – and thus verify – engine fuel flow on takeoff? Do you have any clue
how hydraulic quantity varies during taxi, takeoff, climb and cruise? Many pilots cannot answer
these questions, simply because they are not interested in this stuff. These numbers are not in
the book, but they are displayed on the flight deck every day…
It makes me sad to see a crew during engine start in the simulator blowing-up the engine
beyond maximum exhaust gas temperature (EGT), while fuel flow was clearly out of limits for the
past five seconds. You can shutdown that engine at 200 degrees instead of 200 degrees above
maximum EGT simply by recognizing unusual fuel flows.
It is also disappointing me
when a captain with over
ten years experience on
aircraft type cannot tell me
what amperage and voltage
is usually shown in the cruise
for the electrical generator.
If you love your airplane,
you get to know the
reference values for all
indicators on the flight deck.
Imagine you have a special
day to celebrate, but your
partner says “Sorry honey,
Are the indications normal for the phase of flight?
not tonight, I think I have a
fever”. You don’t take ‘No’
for an answer, so you grasp
the
thermometer,
you
measure body tempe-rature and it says 40°C. Party or no party tonight?
I suggest you first test the thermometer on yourself. If it shows 37°C, an instrument error is
excluded. Next, take your partner’s temperature again to eliminate a faulty measurement. It now
shows 41°C. Time to call a doctor?
Why should you? Is there something wrong with this temperature? You are not a doctor, so how
can you interpret these numbers?
The answer is simple; because you know the reference value. You know that 37°C is normal and
therefor 40°C is too high. You don’t have to become a nerd and know that your body
temperature may drop down as low as 35.5°C during a 6 hour sleep, or that temperature taken
9|Page
Flight Safety Magazine of Air India, Air India Express and
Alliance Air
June Edition 37
SAFE WINGS
under the tongue is showing between 0.3 and 0.8°C lower and when taken under the armpit, it
can be up to 1.5°C lower.
The same goes for your aircraft; you really don’t have to know that the hydraulic system LOW
OIL PRESSURE light is calibrated at 1,250 psi with a 5% margin and a 3 seconds delayed timer.
There are pilot nerds writing books which are full of this kind of stuff. Being an author of such
book myself, I can confirm that you really don’t need to know this level of detail to become a
safe pilot. You only need a handful of reference numbers.
When your aircraft climbs through 10,000 ft, what cabin altitude and differential pressure do you
expect to see? It makes life much easier if you can recognize and anticipate unusual
pressurization indications instead of being surprised by the cabin altitude warning. It takes
discipline, or should I say love and interest, to get familiar with your aircraft reference values.
If you know how your aircraft V2 speed varies with aircraft takeoff weight, you will immediately
detect an error in the loadsheet, an error in takeoff performance calculation or an invalid entry
of zero fuel weight (ZFW) in
the FMC takeoff weight input
prompt…
Many takeoff crashes and tail
strikes are caused by obvious
– yet unnoticed – errors in
the loadsheet or performance
calculations.
By the way, if there are three
minutes in daily operation
where you really need to seal
the flight deck and resolutely
block any communication
with cabin crew, handling
agent and ATC, it is when
you verify the loadsheet and
compute
takeoff
performance. Also, never let
the late receipt of the
loadsheet make you rush in
an attempt to depart on time.
If you end up in the village
just beyond the end of the
runway, you will be late
anyway.
Tailstrike on a 747 beyond economical repair
due to a mix up of ZFW and takeoff weight
Flight Safety Magazine of Air India, Air India Express and
Alliance Air
10 | P a g e
SAFE WINGS
June Edition 37
CRM
Cockpit Resource Management
You are not alone on the flight deck and the way you interact with that other human being
seated next to you is of crucial importance to overall flight safety. Your airline organizes a CRM
course every now and then to meet legal requirements. Are these courses effective?
Combined forces
The time that the captain is God and the co-pilot’s role is to carry the flight bag and do some
radio talk, has gone. Unfortunately this is not true for all cultures worldwide. That’s too bad,
because your first officer is a valuable source for feedback on your own performance and errors!
Whatever decisions are to be taken in the daily operation of the aircraft, such as basic decisions
on fuel, weather and navigation, or whenever you are dealing with an emergency in flight,
always be open to your co-pilot’s inputs. His or her suggestion may save your day.
Flight deck audio recordings in many aircraft accidents reveal that the first officer gave the
correct input, but it was ignored or overruled by god-the-captain. Even worse are those
accidents where the other crew member noticed the error but did not say anything because of
hierarchical respect or due to lack of assertiveness.
CRM training must focus on the vital importance of combined forces and clear communication
on the flight deck, overruling any hierarchy set by religion, sex or culture.
Many aircraft incident investigations reveal that one pilot believed the other one was aware of
11 | P a g e
Flight Safety Magazine of Air India, Air India Express and
Alliance Air
June Edition 37
SAFE WINGS
the problem and therefore never mentioned any concern. The monitoring pilot should never
assume the flying pilot is aware of any deviations, no matter how obvious they are. Any flight
path or aircraft attitude deviation must always be communicated, either by standardized callouts or any other clear phraseology.
This is also valid on the ground. In many runway excursions, there was no or a late call-out from
the pilot monitoring spoiler or reverser deployment.
On the topic of mistakes, who makes the most? The highly experienced captain or the younger
co-pilot?
Both make the same number of mistakes, but the types of mistake are different. The co-pilot
fails on stick-and-rudder and general knowledge, while the old man fails on management, such
as not recognizing loadsheet errors, terrain obstacles, etc.
Most co-pilots have nothing on their mind, only a smartphone, a boyfriend/girlfriend and next
week’s party.
Now look at the old man; he lost his father last week, his wife has depression, his 16 year old
daughter failed her high school final exams and attempted suicide, his body is showing age by
losing hair and teeth, and he can’t pay all the bills anymore…
Either or both pilots could have a long list of issues taking up their mental capacity even before
the pilot walks into the airport terminal... It’s impossible to leave these things behind when he or
she goes to work. This pilot is physically sitting
behind the instruments, but his thoughts are “Inform your fellow pilot about
elsewhere and crucial errors, warnings and
your potential lack of vigilance.”
information are not noticed.
Other reasons for mental absence can be fatigue, alcohol and medical drugs. We all have a
private life and it happens that we show-up for work with only a few hours sleep. Either you
returned too late from a party or your night’s rest was interrupted by family matters or by noisy
hotel guests. It’s important to let your fellow pilot know about your mental state and potential
lack of vigilance.
Admit your lack of knowledge
The overall image of pilots is that they don’t or shouldn’t make mistakes. Pilots also tend to have
difficulty in admitting errors. That in itself is a real danger and may have impact on the safety of
your flight. Whenever there is something you don’t know, just admit it! Do not try to hide your
ignorance with some complex sounding bull answer.
If a fellow pilot cannot tell me the values for green-amber-red, I prefer an answer where he
admits he doesn’t know the values, instead of trying to cover a lack of knowledge by conjuring
erratic numbers from a hat. This type of pilot endangers the flight in the sole interest of
protecting his or her image.
Flight Safety Magazine of Air India, Air India Express and
Alliance Air
12 | P a g e
SAFE WINGS
June Edition 37
Should I be embarrassed when I cannot answer some technical or operational question from my
trainee co-pilot? Will my status fall because an instructor with 25 years of experience is
supposed to know everything? Don’t get trapped by this, never try to create some illusion of
infallibility. Never try to convince the other pilot with an answer you are not 100% sure of,
because this may become a potential hazard for your flight and his or her next flight! Just admit
that you do not know the answer – this is what CRM is all about. Admit that you are a human
being and so your brain simply forgets things. And as an instructor, I will look-up the topic at
home and I will send you feedback by email tomorrow.
The
same
goes
for
air
traffic
communication. Whenever there is any
doubt, never try to convince your fellow
pilot. Just admit that you did not
understand the clearance and ask again,
even if this is the third time today. Recently
an aircraft in the company had an air miss,
because the crew believed they had been
cleared down to 15,000 feet while the ATC
clearance was only to 25,000 feet.
Back in the 70’s the first and second officers
concerns about an ATC takeoff clearance in
low visibility were overruled by the Dutch
experienced 747 captain, killing nearly 600
passengers and crew at Tenerife airport.
On several occasions miscommunication
has also led to controlled flight into terrain
(CFIT), though the latter can have different
Tenerife disaster in 1977: two Boeing 747
causes, such as both pilots getting fixated
aircraft collide on the runway in heavy fog
on a flight deck indication or FMC issue and
meanwhile forgetting to fly the aircraft.
Whatever light illuminates on the flight deck, always make sure someone stays focused on the
basic flying and navigation.
Admit you cannot make the landing
Every month somewhere in the world a commercial aircraft overruns the runway. In most cases,
the aircraft was perfectly serviceable. How can this happen?
Many runway excursions start at top-of-descent, when kept high for traffic reasons. During the
ensuing 20 minutes, neither of the crewmembers admits (pilot flying) nor expresses any concern
(pilot monitoring) that they cannot make it today… This is a real CRM issue! In this scenario, and
many other scenarios, showing off pilot skills appears to be more important than demonstrating
13 | P a g e
Flight Safety Magazine of Air India, Air India Express and
Alliance Air
June Edition 37
SAFE WINGS
people skills. These pilots are not flying the aircraft as a safe pilot; they are only concerned about
stroking their ego.
The same goes for long floating and late touchdown. The only thing to do here is to admit that
you cannot make the landing instead of trying to get things sorted within the remaining runway
distance.
Always be go-around minded! Going around, even after main gear touchdown, demonstrates
good judgment and professional maturity.
I humiliated my co-pilot for his poor landing on the way out and now I find myself messing-up
my own landing at home base. Shall I try to cover-up my even worse performance by
continuing the landing or shall I initiate a go-around and lose face as an experienced captain?
Some pilots regard a go-around as a loss of face, an embarrassing admission that you messed
up the landing. Don’t be concerned about what your fellow pilot thinks about your landing,
because the same will happen to him or her tomorrow. Don’t worry about your late schedule.
The airline management should never query you about a go-around and a subsequent 10
minute late landing. But they will definitely ask questions if your aircraft skids off the runway – if
you are still around to tell the story.
Yet, many pilots pass through company defined stable approach gates in the flawed belief they
can fix it later and that the flight parameters will soon return within tolerance. Each time you get
away with it, the belief that passing through stable approach gates is no big deal for your level
of experience is reinforced, and the invisible line is pushed further ahead. Without any doubt,
one day you will fail and you end-up beyond the end of the runway!
You find stunning spotter movies on the internet showing passenger carriers touching down mid
runway and making it to a safe stop. Sorry to say, but these pilots have a CRM attitude problem.
Overconfidence, or rather
underestimating the danger
associated with continuing a
late touchdown, is a
common factor in runways
excursions.
It’s very easy to determine
whether or not a pilot is goaround minded. Just look at
his hand on the thrust
levers. If you see that hand
move forward during a long
floating flare prior main gear
touchdown, the pilot’s mind
is setup for expeditious
deployment of the thrust
reversers.
This mindset
The Serbian captain of an Indian 737 initiated a go-around
after reverser deployment on late touchdown
Flight Safety Magazine of Air India, Air India Express and
Alliance Air
14 | P a g e
SAFE WINGS
June Edition 37
eliminates any option for a safe(r) go-around.
Today is a beautiful day, the weather is clear sky. The landing runway is straight ahead, but you
are way too high... The experienced captain is flying and he decides to continue. You don’t have
much experience, but it’s abundantly clear that the aircraft can’t make it. What will you do?
You tell him that you are too high, but the anxiety in your eyes creates a smile on his face, and
he responds to your manifest unease with a know-all attitude; “Don’t worry, my friend, I have
10,000 hours on this aircraft, we can make it. Today, you are going to learn something, watch
me.”
Take this in 3 steps:
 Step 1: express your concern – “Hey captain, I think we are too high.” This is where you get
that condescending smile.
 Step 2: make a suggestion – “Hey captain, let’s go-around” This is a good one, allowing him
to bail-out. Because in the meantime he found out himself that he can’t make it. This
suggestion allows him to save his ego and just perform the go-around “because you
insisted…”
 Step 3: instruct a go-around – “GO-AROUND, I say again, GO-AROUND !” the second call
just to make sure the command was clear and registered as such on the cockpit voice
recorder.
These three steps will save the day in most cases. Some years ago, an Indonesian 737 passed
the threshold at 250 knots and continued the landing. Are you going to takeover control at 200
feet above ground and then both push-pull-turn in opposite directions? Don’t!
Why would pilots still continue while it’s obvious you cannot make it? Home driven or plan
continuation bias is the natural tendency for a human being to not accept deviation from a
planned course of action.
The ultimate action you as a first-officer can do at this stage is to get the other pilot out of this
tunnel vision by raising the landing gear. He will not appreciate your action, but by natural reflex
no pilot will continue the landing. Just for the record, don’t take this as a SOP.
Back to the subject of making the landing, weather conditions and air traffic clearances also play
a major role in many runway excursions.
Pilots may accept difficult ATC instructions due to professional pride in being able to make it in
any situation without consciously evaluating the increased threats associated with the new
clearance. ATC instructions should be declined when they force you into a position of making a
rushed approach.
Television news often reports that the aircraft
crashed due to bad weather. There is no such
thing as bad weather anymore. You have an
15 | P a g e
“Going around demonstrates
good judgment and professional
maturity.”
Flight Safety Magazine of Air India, Air India Express and
Alliance Air
June Edition 37
SAFE WINGS
excellent weather radar and a predictive windshear system, warning you way ahead of bad
weather. We are dealing with pilots who feel overconfident and believe their experience can
handle any weather. On-time performance, expensive diversions and the initial plan to land at
the destination, make pilots elect for a second landing attempt in bad weather instead of
diverting to a clear weather alternate airfield. All preceding aircraft made it safe into Denver, so I
don’t want to be the loser that has to divert...
In several accidents the aircraft crashed upon the second or third approach. Never execute a
third approach on the same airfield with same weather conditions. And omit even a second
approach if that eliminates diversion to a clear weather alternate airfield.
When flying into bad weather airfields, do not calculate landing distance using the actual
weather conditions. You are better-off reverse-calculating maximum acceptable cross- or
tailwind and worst expected runway contamination for planned landing weight and runway
length. Compare actual wind and runway state with these limits during the entire approach and
abandon the approach as soon as calculated limits are exceeded.
Admit you are running behind
One of the top-ten phrases on the flight deck, ranked number 2 after “I need coffee” is “What’s
it doing now?” Today’s complex flight deck automation with numerous modes and various
software updates, often cause pilots to run behind their aircraft.
I don’t have any at home, but I compare the aircraft with a dog. A well-trained dog never walks
in front of you. It will walk next to you, or slightly behind you, making it clear who’s the boss. The
minute your dog steps in front of you, you will pull the leash and make clear you are in charge.
The same goes for the aircraft and autopilot. The minute (or rather second) you get behind, you
must show who’s in control. But how do you recognize that you are running behind?
Whenever you deviate in any of the four aircraft dimensions (position, altitude, speed and
configuration) you are running behind. A typical example is the autopilot maintaining level flight
while it was supposed to pick-up the glide slope. I see many pilots trying to correct this situation
by pushing several buttons on the autopilot control panel, but the solution might be to simply
switch-off automation and fly the dog!
The real danger is recognizing and admitting that you are 2 steps behind. When the autopilot
does not pick-up the glide slope, pilots may get focused on the descent profile and forget to
lower the landing gear, which was planned at this point in the approach. Now, you’re running
behind in 2 dimensions, altitude and configuration. Immediately abandon the approach and goaround!
Use appropriate automation level
Automation was brought into the aircraft to reduce workload. However, using the wrong level of
automation for a given phase of flight may increase workload.
Flight Safety Magazine of Air India, Air India Express and
Alliance Air
16 | P a g e
SAFE WINGS
June Edition 37
For many pilots, the opposite is true. As soon as they feel themselves getting behind the aircraft,
they switch-on the autopilot hoping that automation will resolve the situation…
Many younger pilots cannot resist playing with the FMC when receiving a last-minute ATC
change. In the worst case, both pilots find themselves head-down clearing a FMC conflict, which
may result in loss of situational awareness in dense traffic or in high terrain environment, and
increase the risk of CFIT.
With the autopilot engaged, make sure you keep
hands on the control wheel and thrust levers
when below 5,000 feet height. Physical contact
with the aircraft controls allows you to
immediately detect system unplanned mode
changes or system malfunction and avoid
deviations from the planned flight path or aircraft
performance. Airbus drivers don’t get return
through thrust lever or sidestick displacement, but
should still keep their hands on the controls for
manual takeover whenever any deviation is
observed.
“Whenever you run behind, switch
to a lower level of automation or
switch it off and fly the dog.”
Besides the ability to use automation to its
maximum extent, pilots should also practice and
maintain manual flying skills. When was the last
time you manually flew an ILS down to the
minima in 3 miles / 5000 meters visibility on a real
aircraft? Are you still able to do this? While most
aircraft
manufacturers
and
companies
recommend maximum use of automation, pilots
should be encouraged to switch-off the autopilot
and manually fly the aircraft below 15.000 feet,
traffic and weather permitting. Many long haul
wide body pilots with 3,000 hours logged on type
actually have only 20 hours of hand-flying, that is
2 minutes on takeoff and 2 minutes on landing.
Whenever you end-up running behind the
automation, switch to a lower level autopilot
mode, like heading and vertical speed, or switchoff all automation and just fly the dog.
17 | P a g e
Pat BOONE is an experienced
captain and instructor with over
15,000 hours on Boeing aircraft
and author of the Boeing 737
Management
Reference
Guide,
used by ten thousands of pilots
worldwide.
He is general manager of MCC, a
software company headquartered
in Belgium – Europe, developing
mccPILOTLOG
logbook software
and the mccROSTER crew app.
www.mccPILOTLOG.net
www.mccROSTER.net
www.B737MRG.net
www.B787MRG.net
Flight Safety Magazine of Air India, Air India Express and
Alliance Air
June Edition 37
SAFE WINGS
Intentionally left blank
Flight Safety Magazine of Air India, Air India Express and
Alliance Air
18 | P a g e
We give utmost importance to your valuable comments and feedback. Please do mail us at
[email protected]
or
[email protected]
PROMISING A SAFER SKY, AIR INDIA, AIR INDIA EXPRESS & ALLIANCE AIR
Editorial: -Bhavish B S, Capt Vivek Kulkarni
Designed by Bhavish BS
Was this manual useful for you? yes no
Thank you for your participation!

* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project

Download PDF

advertisement