Professional Documents
Culture Documents
Frédéric COMBES
Head of Accident / Incident Investigation
Crew Monitoring
ESASI MILAN 2014
ESASI MILAN 2014
Content
• Study cases
• What is monitoring?
Page 2
Page 3
• When both pilots are involved in non-monitoring tasks, the risks increase
Page 4
Content
• Study cases
• What is monitoring?
Page 5
• Summary
Page 6
Page 7
T0 + 32 sec
• Actual speed below selected speed
• Altitude maintained at 4,000ft
• ATC announced Traffic “12 o’clock, 7NM, opposing route”
Crew focused on looking outside simultaneously
Page 8
Page 10
Content
• Summary
Page 11
• A310 ILS approach, while approaching the Glide Slope with AP2 engaged (LAND Mode armed,
LOC Track mode)
• Lateral mode reversion from LOC to HDG with GS mode engaged
• Late detection of lateral mode reversion at 200ft
• Go around performed
• Final approach performed with both AP’s engaged
Page 12
Initial conditions
• AP2 engaged, then AP1 engaged with SPD GS* LOC FD1
CMD1
LAND mode armed
• FD engaged
• LOC engaged
• At 3500ft aircraft stabilized
on the LOC and 3500
approaching the Glide Slope
3550
Page 13
Page 14
Initial Approach
• AP1 and FD engaged SPD GS HDG FD1
CMD1
• In Glide Track and Heading hold modes ,
Final Approach
250
• Both AP’s engaged
• Uneventful landing performed
Page 15
Content
• Summary
Page 16
• A330 RTO performed by the crew at a speed of 112kts following RH engine surge
• Day condition and dry runway
• The right engine failed emitting a flash and smoke from the exhaust
• FO PF, CAPT PM
• Crew quickly established that there was a loss of power and aborted Take Off
• Emergency stop on the runway and taxi clear using the unaffected left engine.
Page 17
Time
ASDA=2897m
Page 18
Page 19
• The “normal” eye scan must also include basic flight parameters
(pitch, thrust, speed…)
• In the third example other senses (sound, body accelerations) were also used to
monitor and to trigger action
Page 20
Content
• Study cases
• What is monitoring?
Page 21
What is monitoring?
Content
• Study cases
• What is monitoring?
Page 24
• Organizing the information with priorities towards a shared goal and action plan
Page 25
• Focalisation
• your attention is caught and you forget the rest
• Dispersion
• “you jump” from one information to another and you become overcome by the
context
• Distractions / Interruptions
• Fatigue
• Complacency
Page 26
Content
• Study cases
• What is monitoring?
Page 27
Strategies
• Recognize multitask demands and decide how to divide attention between them
• Manage workload
• Active monitoring may be improved when you concentrate on “mentally flying the
aircraft” even when the AP is ON
Page 28
Strategies
• Assign monitoring tasks at least an equal or even higher priority than the other tasks
in the flightdeck
Page 29
Conclusion
Page 30
© 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
made herein do not constitute an offer. They are based on the mentioned assumptions and are expressed in good faith. Where the supporting grounds for these statements are not shown, AIRBUS S.A.S. will be pleased to explain the basis thereof.
AIRBUS, its logo, A300, A310, A318, A319, A320, A321, A330, A340, A350, A380, A400M are registered trademarks.
Page 31