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21st Flight Safety Conference

Paris, 23-26 March 2015

21st Flight Safety Conference


Paris, 23-26 March 2015

Training for Resilience


Presented by Dr. Nicklas Dahlstrom
Captain David Owens

21st Flight Safety Conference

Safety Conference 2014; Monitoring

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Paris, 23-26 March 2015

21st Flight Safety Conference

Paris, 23-26 March 2015

What is resilience?

Culmination of all our;


experience + training + ability
the competencies applied in real life!
Resilience is the ability to recognize, absorb and adapt to
disruptions *
Examples?
Qantas QF 32 or Baghdad!
United 282 Sioux City
Thinking outside the box
Resilience is primary goal of training!
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*Hollnagel, Woods & Leveson, 2006

21st Flight Safety Conference

The pyramid model

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Paris, 23-26 March 2015

21st Flight Safety Conference

Not just flight operations!

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Decision Making

Decision Making and Time


Fuel
Weather
Medical
Hours
Rational
decision
making

All other
decisions

Minutes

Seconds

Natural
decision
making

TCAS
GPWS
Wind shear

Split-second
Conditioned
reaction

Conditioned Reaction
Typical conditions:

Clear trigger(s)

Time is a critical factor

No competing/complex
information available

The aim is for the reaction


to be correct and fast

Paris, 23-26 March 2015

Lets start with a typical conditioned reaction - RTO

Example; Rejected Take-off, Simon Lowe, Airbus has arranged for you to use it
Used before by Airbus as an example of Monitoring
It is a positive example
What was right?
They stopped on the runway, straight and safe
How did they do that?

They followed their training!!


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21st Flight Safety Conference

Paris, 23-26 March 2015

What went right?


How?

How?

How?
4. Training

They detected a problem


Recognised it correctly
Recalled the correct actions
Carried them out correctly

3. Detected the
problem correctly

2. Carried out the


correct actions

1. Stopped on R/W
On the centreline
And safe

Detect.Recognise.Recall.React

They did as they were trained; therefore,

their training was resilient

IT WAS RESILIENT IN THE REAL WORLD!!


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21st Flight Safety Conference

Paris, 23-26 March 2015

What about their training?

How to perform a rejected Take-off?.....................


Bang.?
Close the Thrust Levers
Select max reverse
Allow the auto brake to bring the aircraft to a stop
Set park brake
Call, Cabin Crew at Stations
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If we train it this way ..


Training is not wrong .
Just the way it is delivered MAY not
be usable...
Not good enough!!
It is the method of training we need
to consider!

21st Flight Safety Conference

Paris, 23-26 March 2015

Detect, Recognise, Recall, React

Detect.Recognise.Recall.React
In many accidents one of these steps was missed
A successful outcome requires the correct steps carried out in the
correct order

This applies to the conditioned reaction discussed here and ALL of


the other decision making stages

What just
happened?

Nic?
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I remember
this from
the sim!

Decision Making and Time


Fuel
Weather
Medical
Hours
Rational
decision
making

All other
decisions

Minutes

Seconds

Natural
decision
making

TCAS
GPWS
Wind shear

Split-second
Conditioned
reaction

Rational Decision Making


Typical conditions:

Clear and specific goals

Minimal time constraints

Complete and correct info

The aim is an optimal decision

Ok, but if we
go there

Natural Decision Making


Typical conditions:

Unclear goals (+ risk)

Available time is minimal

Incomplete/incorrect info
and changing situation

The aim is for a decision


that is good enough

Natural Decision Making


This looks like

Steps involved:
Situation recognition
(Based on cues from the situation)

This should
work

Serial option evaluation


(Until get to good enough option)

Mental simulation
(To test option and have a plan)

If we do it this
way it will fix
the problem

Most critical operational decisions will be NDM decisions!

Why is this important now?


?

Ok

Great!

Turkey
Well-being
Regular
feeding

Attention
from farmer

Shelter

29th November 2013

26th November 2014

Days
(Taleb, 2007)

Why is this important now?

2014

2012

2013
(Flight Safety Foundation, 2015)

The Changing Situation


for Pilot Experience
EXPOSURE

VARIETY

EXPERIENCE

EXPERTISE

REFLECTION
PRACTICE

Limited exposure Degraded experience


More effective training to achieve expertise

So what can we do?

Evidence Based Training

Training

Pilots

Safety

(Flight Safety Foundation, 2013)

Evolution of
Evidence Based Training

ATQP

REGs

EBT

REGs

EBT
EBT

EBT

REGs

Learning from Best Practice

30
300

30

2000

2 000 000

300

(Heinrich, 1931; Hollnagel, 2014)

Deconstruction of Competence
Competence

Dont worry,
just do what I
tell you to do!

I am not seeing
the big picture in
this
Subcompetence

Sub-subcompetence

Sub-subcompetence

Subcompetence

Sub-subcompetence

Reconstruction of Competence
Previously I
flew the 320.
Competence

Subcompetence

Ok, so lets start


with what is the
same on the 350!

Subcompetence

Provide context Allow exploration


Sub-subcompetence

Sub-subcompetence

Sub-subcompetence

Training for Resilience and Expertise


Trainee ownership and motivation
Development of general competencies,
not only actions for specific situations
Focus not only on correct answers,
also on exploring useful methods
Integration of HF/CRM in all training,
more HF/CRM knowledge for trainers

From Safe Actions to Safety Culture


Awareness
Understanding
Changed behaviour

Challenges and Ways Forward


Errors Collect/Communicate Best Practice
Information Exploration in Training
Compliance Aiming for Expertise
Safe Actions Safety Culture

Efficiency and Safety

Efficiency and Safety

21st Flight Safety Conference

Paris, 23-26 March 2015

Advancing learning methods for pilot training

Daniel Willingham professor of


psychology at the University of Virginia

Learning Pyramid retention rate

Learning pyramid - psychology of


learning

A lot of new research in this area has


shown learning to be very individual

We know that repetition is a factor and


so is the preferred method of learning
and learning by discovery also the
time between learning and test

There are many other factors

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Why
Dont
Pilots Like
Ground
School?

21st Flight Safety Conference

Paris, 23-26 March 2015

How do we train this?

We need to understand the psychology of learning


Evidence Based Training, competency and evaluation principles
Realistic scenario but not the immediate recall of the lesson

Train a task,
procedure or
skill

OR

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21st Flight Safety Conference

How to train? More information!

Surprise we are looking for ideas and are developing


practical methods of generating surprise

We have sent you a monitoring OTT


EBT principle of first look for recurrent training, ICAO 9995
Then train what the student needs as an individual

May require a significant change in trainer style


and methods

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Paris, 23-26 March 2015

21st Flight Safety Conference

Paris, 23-26 March 2015

Conclusion

Most accidents were in aircraft that were flyable

In almost every case, the pilots had been


trained but for some reason, on that day, under
those circumstances, they didnt or couldnt use
that training

We are addressing this by changing the way


we train

We must continue to apply EBT principles


But whatever we do, we must train to achieve
RESILIENCE!
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AIRBUS S.A.S. All rights reserved.

Confidential and proprietary document.

21st Flight Safety Conference

Paris, 23-26 March 2015

Airbus S.A.S. All rights reserved. Confidential and proprietary document. This document and all information contained herein is the sole property of AIRBUS. No intellectual property rights are granted by the delivery of this document or the disclosure of
its content. This document shall not be reproduced or disclosed to a third party without the express written consent of AIRBUS S.A.S. This document and its content shall not be used for any purpose other than that for which it is supplied. The statements
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