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Loss of Control Significant Threat – Significant Actions Captain David McCorquodale Head of Flight Crew
Loss of Control
Significant Threat – Significant Actions
Captain David McCorquodale
Head of Flight Crew Standards
UK CAA
“Staying in Control – Loss of Control (LoC) – Prevention and Recovery”, 4-5 th October 2011
Outline Setting the Scene ‘Significant Seven’ Task Forces Loss of Control Task Force Findings Questions
Outline
Setting the Scene
‘Significant Seven’ Task Forces
Loss of Control Task Force Findings
Questions
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Setting the Scene Accident Categories for Fatal Accidents involving EASA Member State Operated Aeroplanes (2001
Setting the Scene
Accident Categories for Fatal Accidents involving EASA
Member State Operated Aeroplanes
(2001 - 2010)
Loss of control in flight
Fire/smoke post impact
CFIT
System component failure (powerplant)
System component failure (non-powerplant)
Ground handling
Icing
Unknown
Other
ATC
Runway excursion
Abrubt manoeuvre
Windshear or thunderstorm
Undershoot/overshoot
Fire/smoke (non-impact)
Security related
Collision or near collision with birds
Runway incursion - vehicle, aircraft or person
0
2
4
6
8
10
12
Data Source: “Annual Safety Review 2010”, EASA
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‘Significant Seven’ Task Forces Identification of Main Risks Worldwide AAG Loss of Control Post Crash
‘Significant Seven’ Task Forces
Identification of Main Risks Worldwide
AAG
Loss of Control
Post Crash Fire
Controlled Flight into Terrain
Runway Excursion
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‘Significant Seven’ Task Forces Identification of Main Risks Worldwide AAG Identification of Additional Risks in
‘Significant Seven’ Task Forces
Identification of Main Risks Worldwide
AAG
Identification of Additional Risks in the
UK Environment
THREAT
Airborne Conflict
Ground Conflict (including Runway
Incursion)
Ramp Incident
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‘Significant Seven’ Task Forces Loss of Control Runway Excursion CFIT Runway Incursion Task Forces Airborne
‘Significant Seven’ Task Forces
Loss of Control
Runway Excursion
CFIT
Runway Incursion
Task Forces
Airborne Conflict
Ramp Incident
Airborne & Post-
Crash Fire
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‘Significant Seven’ Task Forces Jan 2009: First Safety Conference Jun 2009: Launch of CAA-Industry Task
‘Significant Seven’ Task Forces
Jan 2009: First Safety Conference
Jun 2009: Launch of CAA-Industry Task Forces
May 2010: Task Forces report their findings
Oct 2010:
Findings debated at second Safety
Conference
Mar 2011: Consolidated Task Force report
published (CAA Paper 2011/03)
Aug 2011: CAA Safety Plan 2011 to 2013
published
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Loss of Control Task Force Findings 75% of worldwide fatal loss of control accidents involved
Loss of Control Task Force Findings
75% of worldwide fatal loss of control accidents
involved the following factors:
Use of Automation
Manual Flying Skills
Type-Related Issues
Upset Recovery
General Aspects (including Human Factors)
These factors were also present in UK high-
severity occurrences
Data Source: CAA-Industry Loss of Control Task Force
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Loss of Control Task Force Findings Loss of Control Task Force actions in new CAA
Loss of Control Task Force Findings
Loss of Control Task Force actions in new CAA
Safety Plan focus on:
Training and assessment of pilot monitoring skills
Use of aircraft automation
Maintenance of manual flying skills
Oversight of their implementation
by new Loss of Control Action
Group
Other actions are under
consideration – more later
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Loss of Control Task Force Findings Pilot Monitoring Skills • Report on research into current
Loss of Control Task Force Findings
Pilot Monitoring Skills
• Report on research into current best practice in pilot monitoring
and associated training delivery methods
Nov-11
• CAA best practice guidance document on training and
assessment of pilot monitoring skills
Aug-12
• Training of CAA inspectors, promotion of best practice and
oversight of implementation
Jan-13
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Loss of Control Task Force Findings Use of Aircraft Automation • Review of report of
Loss of Control Task Force Findings
Use of Aircraft Automation
• Review of report of FAA study and Cranfield University
research on crew interaction with flight deck automation
Jan-12
• Workshop with industry to discuss findings of review and to
identify the top key priorities for action
Mar-12
• Plan developed for implementation of actions to mitigate the
risk of the top findings from the review
May-12
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Loss of Control Task Force Findings Manual Flying Skills • Jet Upset Recovery Training Aid
Loss of Control Task Force Findings
Manual Flying Skills
• Jet Upset Recovery Training Aid Tool and associated DVD
distributed to all UK commercial pilots
Feb-12
• Feasibility of incorporating manual flying skills measuring
methodology into a Flight Data Monitoring Tool
Apr-12
• If feasibility is demonstrated, then methodology incorporated
into an FDM programme and trialled with an airline
Dec-12
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Loss of Control Task Force Findings Other issues for consideration: Review appropriateness of type-rating training
Loss of Control Task Force Findings
Other issues for consideration:
Review appropriateness of type-rating training
Develop type-specific Licence Skills Tests
Equip simulators with more accurate data on aircraft
handling characteristics close to edge of flight envelope
Extend use of ATQP to smaller operators
Develop enhanced safety performance indicators
(including FDM)
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Loss of Control Task Force Findings Methods of information dissemination: Liaison with EASA Working Groups
Loss of Control Task Force Findings
Methods of information dissemination:
Liaison with EASA Working Groups
Senior Examiners Annual Conference
Class Rating Examiners Annual Workshop
Examiners Newsletters
Information Notices
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Thank You Slide 15 of 15
Thank You
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