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, 4-5th October 2011

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 - 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 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 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 Conflict

Ramp Incident Airborne & PostCrash Fire

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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 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 highseverity 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 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 best practice in pilot monitoring Nov-11 and associated training delivery methods CAA best practice guidance document on training and assessment of pilot monitoring skills Training of CAA inspectors, promotion of best practice and oversight of implementation Aug-12

Jan-13

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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 Workshop with industry to discuss findings of review and to identify the top key priorities for action Plan developed for implementation of actions to mitigate the risk of the top findings from the review Jan-12

Mar-12

May-12

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Loss of Control Task Force Findings

Manual Flying Skills
Jet Upset Recovery Training Aid Tool and associated DVD distributed to all UK commercial pilots Feasibility of incorporating manual flying skills measuring methodology into a Flight Data Monitoring Tool If feasibility is demonstrated, then methodology incorporated into an FDM programme and trialled with an airline Feb-12

Apr-12

Dec-12

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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 Senior Examiners Annual Conference Class Rating Examiners Annual Workshop Examiners Newsletters Information Notices

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Thank You

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