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CONTENTS AswE sEE iT by LGen A .M .

DeQuetteville, Commander Air Command and


CWO R .N . Elphick, Command Chief Warrant Officer

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hen the these dues include :
Command Chief personnel knowing

z
As We See It It Happened To Me The Squadron Supervisor and I read the where they are

S r minutes of the 1995 going and how they


Flight Safety Training are getting there ;
Crew Resource Management Epilogue ' METARITAF -

g
Session, we noted the there is meaningful,
Coming Soon ! li issue of poor morale tangible information
and its possible effect about what, when
Aircom Crew Resource Wing Bird and Mammai in the rise of inatten- and why ; input from
Management Training Policy Control Programmes ~i Flight Safety : tion as a cause of
occurrences . The
personnel into the
task is sought and

9
A Potential Casualty
Command Chief and I v acted upon by the
Moving Ship - Low Fuel ! ! ! i see this as an impor- leaders ; good com-
Channelized Pressing a
tant issue that needs munication exists ;

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~- So You're The our attention . 0 good work is recog-
New Instructor c
The principles of nized promptly ;
For Professionalism Good Show war state that main- there is room for

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tenance of morale is one of the that control over morale is outside fun ; individuals within the team help
1 de Havilland DHC-4 important features of maintaining their hands, and lays squarely with each other and even straighten out
1 The DECIDE Model - Glass Cockpit Technology - an effective military . In war we have some higher ups, somewhere . . . bad apples ; the leader is reachable,
Caribou
Structured Decision Making A Mixed Blessing seen this proven time and again . Often This begs the question ; why, when visible and places needs of subordi-
in peacetime though, the effects of morale as a whole is supposedly very nates before their own ; there is one
morale on a military's abilities as an low (Phillips study), do we find units set of rules for all ; promises are kept ;
effective fighting force are not given where morale is quite good, even if word is given, delivery is assured ;
as much weight . This is somewhat pecu- excellent? and there is a certain amount of
liar, since morale whether in peace or It seems that morale is affected stability, providing an anchor for
war impacts the effectiveness of a force through many levels, from the CF as a some personal security .
more than any other factor, bar none . whole down through the Wings, sec- These ingredients are not the
In times of deep cuts, maintaining high tions and individuals . Each level, by complete recipe . The saying,

!~ FLIGHT
morale can be a relatively cheap force actions, decisions, and leadership influ- "Everything is simple, but even simple
multiplier . There is no argument, that ences the level below it . The reverse is things are extremely difficult" seems to
a force with high morale works better difficult to achieve . The closer the level apply . We know these things instinc-
and faster, and because of the strong affecting morale is to your own level, tively, yet it is hard to focus given all
sense of pride high morale generates, the more likely your morale will be the activity going on around us . It is
professionalism and the quality of the affected . A corporal's morale is however, a good place to start and it
work are also very high . In Air Force affected more by his sergeant than it must happen at all levels .
terms, this often results in less accidentsl is by NDHQ policy . In turn, each of us In outlining Flight Plan '97, I have
Air Command Flight Safety incidents and therefore increased also influences morale in our sphere of endeavoured to address most of these
The Canadian Forces
Director Fliqht 5afety Flight Safety Mayazine combat capability . responsibilities or action . Morale is a morale affecting issues ; from clarifyiny
Col M .1 . Bertram What is difficult to grasp is exactly global issue that each of us has an where we must take the Air Force,
Night Comment is produced 6
Investigation times a year by Air Command Flight how to affect morale positively . The effect within our sphere of influence . slowing the pace of change, lessening
LCoI R .W . Gagnon Safety. The contents do not necessar- Subscription orders should be precepts of Maslow's "needs" pyramid economic hardship, and improving
This is especially true of the individual,
ily reflect official policy and unless directed to :
Prevention remain true; if one is lacking the basic who has the greatest influence over accountability and communications .
otherwise stated should not be Publishing Centre,
LCoI M .P Kennedy CCG, needs it is difficult to achieve higher their own morale, In the end, good morale not only
construed as regulations, orders
Air Weapons SafetylEngineering Ottawa, Ont. K1A 059 needs . With this country's massive The fact that the most powerful provides an effective working environ-
or directives .
Maj B .A, Baldwin Telephone: Area Code (613) 956-4800 debt and its consequent effects on influences over an individual's morale ment, it provides a force multiplier
Contributions, comments and
Editor criticism are welcome; the promotion Annual subscription rate : for Canada, DND resulting in pay freezes, no are the closest to their level, they are and increased flight safety . Better
Capt Jim Hatton of flight safety is best served by $17 .50, single issue $3 .00 ; for other incentives, diminished job security also the easiest to effect . This presup- morale starts with each individual,
disseminating ideas and on-the-job countries, $21 .00 US ., single issue
Art Direction : and increased uncertainty, it is small poses a favourable environment exists . at all levels . While individuals are
experience . Send submissions to : $3 .60 US . Prices do not indude GST.
DCA 2-6 Payment should be made to Receiver wonder that people fear for their Althouqh there is no simple recipe responsible for their own morale it
Translation General for Canada . This Publication basic needs . for improving morale, observations of is up to supervisors at all levels to
Editor, FJight Comment, D.F.S .,
Secretary of State- Air Command Headquarters, or its contents may not be repro- As a result of some of these factors small groups of individuals carrying set and maintain the right kind of
Technical Section Westwin, Manitoba, R3J OT0 duced without the editor's approval . affecting morale, many individuals feel environment . As we see it . ~
out a task yield some clues . Some of
Photographic Support Telephone: (~04) 833-6981 ISSN 0015-3702
CF Photo Unit-Rockdiffe FAX : (204) 833 6983 A-JS-000-0061JP-000
Cpl J .C. Marcoux

fliqht Comment No . 1,1996


CREW RESOURCE MANAGEMENT by LCoI M.l. Dolan, SSO OT
b . Recurrent Training and Feedback .
For aircrew, initial recurrent train-
ing will occur at the Operational
Training Unit (OTU) level where
for training and implementation
of the standard within various
classifications is as follows :
standards set by the COS Pers and
Trg . Integration of CRM training
into the Training Standard (TS)
and oversight of the standard will
a . Aircrew Training - Central Flying
CRM concepts already introduced rest in CFS Standards .
School (CFS), through the
will be practiced and evaluated .
n December 1987, a Hercules struck CRM principles help improve aware- training for aircrew and has provided Instrument Check Pilot School b . Technical Training (both MOC 500
As well as constituting recurrent
its right wingtip on a snow bank ness, advocacy, assertiveness and training for ATC personnel as well . (ICPS), will assume responsibility and AERE) - Canadian Forces School
training, CRM at this level will allow
while attempting a urcling approach cooperation . 19 Wing Comox has implemented a of Aerospace Technology and
fine-tuning and specialization of
in minimum weather conditions . The Does CRM work? It seems to have course aimed at non aircrew, desig- Engineering (CFSATE) will assume
CRM concepts to the particular
responsibility for developing and
flight safety preventive measures indi- a dramatic effect . Following the adop- nated "Human Performance in mission-oriented crew environment . CRM training will incorporating CRM within the occu-
cated that this incident highlighted tion of CRM training by the USAF in Maintenance" and under Air Command
c. Continuing Reinforcement . pational traininq conducted at that
the requirement for improved crew 1985, the major accident rates for the direction CRM will be part of every
coordination and cockpit discipline - Military Airlift Command (MAC) fleet basic MOC course related to aircraft Recognizing that learning is depen- be incorporated into unit, and providing the associated
Crew Resource Management (CRM) . of C51C1411C130 fleet fell by 51 %, an operation . dant upon continued reinforce- standards oversight .
What is CRM? From the Air effective saving of 11 aircraft . In the As one of the key factors in ment, CRM will be imbedded in all all levels of training c. Aerospace Controller (AEC) -
Command Training Policy, we find that US Navy there was an improvement of effective CRM is communications, phases of continuation training
Canadian Forces School of Air
and stressed in daily line opera-
CRM is a concept which links leader-
ship practices and human factors prin-
80°~o in the accident rate in the A6
community alone . As statistically more
a CRM page will be available for peru-
sal on the Aircom World Wide Web in tions and periodic evaluation . and operations. Traffic Control (CFSATC) will assume
similar responsibilities to that of
ciples in the organization and control than 80°0 of all aircraft accidents have the near future . In the meantime, if Administration . Air Command CFSATE for AEC personnel . "
of people and their activities in the personnel cause factors assigned to anyone has queries, inputs or observa- Chief of Staff Personnel and Training
operational environment . It is impor- them, this improvement in accident tions on CRM they can contact CFS by (COS Pers and Trg) is responsible for for training facilitators for CRM
tant to note that "crew" includes rates is critical in a military with phone, fax, E-mail or on the Internet . establishing CRM training policy and training development and oversee-
everyone on the air operations team : limited resources such as the CF . Addresses are : phone (204) 833-6667 CRM training standards . Responsibility ing the implementation of the
ATC personnel, ground crew, load CRM applies to everyone involved (AV 257-6667) ; fax 833-2437 ; Internet
masters, flight stewards and wingmen ; in flying operations . Central Flying cfsraven~escape .ca . "
not just the cockpit crew . In a nutshell, School (CFS) is coordinating the CRM

MOVING SH1P - LOW FUEL ! ! !


AIRCOM CREW RESOURCE MRNAGEMENT
TRAINING POLICY ur ship was about 50 miles from
the rest of the Task Force, We
were tasked to deliver people and
parts to the other ships . On take off,
we were advised that our ship would
back and loitering for a few minutes
trying to reach them on radio, we
were very low on
fuel . An uneventful
landing on the last
maintain its current course until our ship followed by
return (ship heading North at 10 kts), refuelling, we asked
eneral . This policy establishes the Training, The purpose of CRM knowledge of the essential We flew our mission hoisting and thern for the posi-
framework to develop and imple- training is to raise the situational elements of the CF program . For delivering the people and parts . tion of our ship -
awareness of individual crew members pilots, the Advance Flying Training

:
ment Crew Resource Management The last ship had a flight deck so we they gave it to us .
jCRM) training for all personnel with regard to the effectiveness of (AFT) phase will begin to orient .
landed on . Before we took off, we Our ship had in fact
nvolved in the operation of CF aircraft . their contributions to the group and CRM training towards the particu- were asked if we wanted some fuel . gone East at 10 kts
Definitions . CRM is a concept to the mission, in areas such as : deci- lar mission-oriented crew environ- We quickly calculated that our ship and was about
which links leadership practices and sion-making, conflict-resolution, stress ment, i .e, jet fighter, multi-engine 'should' be approx . ~0 miles away and 80 miles away .
human factors principles in the organ- management and communication . transportlmaritime patrol and heli- decided our 1 hour of fuel was gaod This taught me a k, -
ization and control of people and CRM training will be incorporated into copters . Other members of the air and we departed . few things : Always
their activities in the air operations all levels of training and operations operations team, including ground We started to get concerned get gas when avail- .:~ ; : . .; .;
;~

environment . Crew includes not only for all members of the air operations crew and aerospace control person- ~~~y,;. . "~ ;%FL~";"

when we were about 10 miles back able and always get i r,-. r":'~;: ; ,:~.':~~: ., ~,
the aircraft crew but also all others on team as follows : nel, wll receive mitial CRM rndoc- from where our ship 'should' have an accurate position ~ ~,~~.
~.~a ~ ,*c,;, ~c_ ~~;,~
.~-~
j ~ . ~..~- ~~ <;~:~..:~
the air operations team who routinely a . Initial IndoctrinationlAwareness . trination during their basic been and we couldn't reach them on of your ship . " _
work with or in support of the aircraft CRM will be introduced at the occupational training and follow- the radio . We climbed and still no con-
crew and whose decisions impact on primarylbasic level of training on training during subsequent tact on radar, TACAN, or radio . We
mission safety and effectiveness . to establish a baseline generic career and technical courses . turned back to the last ship . After
transiting 20 minutes out, 20 minutes

Ffrghr Cornment No 1,1996 Flight Comment No 1,1996


~OR P~OFESSIONAl1SM ~OR PROFESSIONALISM
discovered two nuts missing from the Opening the tail rotor drive shaft
upper rudder hinge . They immediately cover and inspecting the bolts is not
reported the discrepancy and correc- a part of the pre-flight inspection
tive action was taken . but it is Cpl Francoeur's habit to go
MCpI Grenon and Cpl Wilson beyond the checklist in the conduct
are commended for their professional- of his duties .
ism and initiative in conducting a Cpl Francoeur's professionalism
thorough inspection in a less than and attention to detail in finding this
ideal location . " unserviceability may have prevented a
SERGEANT REJEAN ASSELIN CORPORAL HAROLD MACPHERSON MASTER CORPQRAL MIKE FADER CORPORAL MARIO GUILMETTE serious flight safety incident . "

gt Asselin, a Safety Systems Tech, hile carrying out an "A" check Cpl Fader, an Integral Systems 1 pl Guilmette, an Airframe Tech,
dlscovered a very hazardous situa- on a Sea King Cpl MacPherson Tech, volunteered to assist an was carrying out a routine before
tion when tasked to provide crew noticed that the sealant around Airframe Tech during a routine flight inspection ("B" check) on a
protection for a Buffalo flight pro- the right aft Main Gear Box (MGB) Primary Inspection (PI) on a Labrador . Kiowa when he noticied a restriction
ceeding for a night exercise . To max- retaining bolt was cracked and black His task was to clean the oil from the to movement in the rudder pedals .
imize the operationalltraining benefits oil was oozing from under the MGB aft transmission area . After finishing Cpl Guilmette immediately advised his
of the flight, the crew size had been foot . Although not specifically covered the main wipe-down, he began wip- supervisor, after which the tail rotor
increased beyond the ability to kit in the scope of an Airframe "A" check, ing off more obscure places in the aft assembly was removed for inspection .
everyone with either an aircraft on- he <ontinued to investigate the prob- area of the aircraft, including parts of Further investigation revealed that
CORPORAL GREG MAYRHOFER .
board smoke mask or dangerous cargo lem . Subsequent checks revealed the stringers and webs that can't be seen an unidentified pin was found cocked
SBRGEANT WAYNE WILLIAM'~
kit portable oxygen walk-around torque on this bolt to be well below with the naked eye but can be reached in the tail rotor output shaft, outboard
, pl Mayrhofer, an Aero Engine
assembly . Although applicable orders specified value . The bolt was retor- by hand . During this maintenance of the pitch key hole . This system is
Tech, was conducting a preflight , gt Williams, Flight Engineer, was
state the recommended duty passen- qued to specifications and the remain- action he discovered four large an internal part of the tail rotor flight
check on a Labrador when he conducting a pre-flight inspection
ger protection is the C4 mask with ing bolts checked for proper torque . bolts lying loose in the aft transmis- control system . Had this problem
noticed white specks on the trailing on a C130 after which he elected
the C~ canister when crewlpassenger The MGB is a very critical airframe sion area . These bolts are used to gone unnoticed, seizure of the tail
edges of the left engine turbine to inspect an area not specified in the
compliment exceeds on board aircraft component and its integrity paramount connect the #5 sync shaft with the rotor flight control system could
blades . While inspecting the leading Flight Engineer pre-flight checklist .
protection capacity, Sgt Asselin's to the safety of flight . Cpl MacPherson's aft transmission spline adapter . have resulted .
edge of each turbine blade, he found During this inspection Sgt Williams
knowledge of the C4's capability attention to detail, perseverance and Further investigation revealed Cpl Guilmette had less than four
that two blades appeared to have discovered a steel rod approximately
made him question the validity of professionalism averted a potentially that these four bolts had been months experience on the Kiowa and
been damaged by FOD . He immedi- 114 x 13 inches long in the copilot's
the directive . serious incident . " removed during a transmission change had just qualified the week before this
ately advised his supervisor and rec- right rudder pedal mechanism .
After extensive research, Sgt two months previously and when they discovery . As well, the functional check
ommended the engine be removed Investigation revealed the rod was
Asselin proved the combination of the could not be found for reinstallation, of the flight control is not part of the
for a thorough follow-up inspection . probably used as a tool by a civilian
C4 mask and the C2 canister provides they were replaced . The helicopter "B" check, nor was Cpl Guilmette
The investigation revealed a severely contractor to facilitate systems rigging
inadequate crewlpassenger protection had since flown 1Z0 hrs and gone familiar with the tail rotor flight
"fodded" turbine section . checks during a very recent inspection .
in case of an on-board fire . With his through two Supp checks and four Pls control system . "
As a result of Cpl Mayrhofer's The rod was not discovered during
analysis confirmed, Sgt Asselin formally without these loose bolts being dis-
findings and the nature of the compo- numerous checks and inspections by
documented this critical deficiency . covered . MCpI Fader's attention to
nent damage, all Squadron aircraft the contractor, aircrew and home
Failure to recognize this problem could detail while performing an out-of-
were inspected . Three additional T-58 unit maintenance acceptance inspec-
have led to injury or death to aircraft trade task uncovered a potentially
~? ~'- i, ; engines were found to have signifi- tion team . Had this item not been
crew or passengers in the event of dangerous FOD situation and exposed
ws~ cant damage to the turbine section . discovered, the possibility of jammed
a fire . the importance of basic rnaintenance
MASTER CORPORAL SHANE GRENON An indepth investigation was carried rudderlbrake control existed .
Sgt Asselin is commended for his CORPORAL BOB WILSON out to determine fleet status, practices . "
Sgt Williams is commended for
superior professional attitude, inltia- Cpl Mayrhofer's alertness, perse- his exceptional professionalism in that

M
tive and dedication to Flight Safety . " Cpl Grenon, a Radar Systems Tech, verance and follow-up actions pre- his actions may have prevented a very
and Cpl Wilson, a Metals Tech, vented the potential catastrophic serious situation and a possible
were tasked to remove the fin failure of an engine . " CORPORAL REGIS FRANCOEUR catastrophic accident . "
cap on an Aurora to facilitate repair
of bird strike damage on the leading pl Francoeur, a Flight Engineer,
edge of the vertical stabilizer . While was conducting his pre-flight walk-
operating some 35 ft above the han- around on a Twin Huey when he
gar floor, on their own initiative they found the number three tail rotor
inspected an area not part of their driveshaft's "C" clamp bolts had
trades . During this inspection they backed off fram their witness marks .

4 FSght Cornment No 1,1996 ` Flight Comment No 1,1996


THE DECIDE MODEL - IT HAPP~NED TO ME
STRUCTURED DECISION MAKING
adapted from Numan Error Accident Reduction Training, lnternational Safety Institute,
he following anecdote relates to
something very simple : an instru-
Geis-Afvarado & Associates ment rating test, more commonly
called a "ticket ride" in our circles . I
am telling it to you so that perhaps,
like me, you will realize that we are
he optimizing strategy of decision C - Choose an Ob J ectlve D - Do the Best Alternatlve : all far from infallible, and that we can
making enables the crew member
to follow a systematic decision The next step is to choose an The crew member's jab is to select get into trouble with something that
making process . The DECIDE model has objective, not an alternative . An the best alternative . To do this, it is seems quite routine to us .
objective is the final measure of suc- necessary to look at all alternatives Because the ticket ride is taken
been developed to assist you in evalu-
cess . It is a realistic assessment of and create a standard against which a from the front seat in a CF18, this
ating problems and selecting the best
what you wish to accomplish . You judgement may be based . By weigh- flight was planned for late on a
alternatives . It is easy to remember this
process because you just have to must be careful not to select an objec- ing each alternative against standards September day to take advantage of
tive that is too narrow in scope nor or criteria, crew members further clar- nightfall and simulate IFR conditions,
DECIDE what you want .
too broad . You may also select inter- ify measures of success . Techniques as much as possible . Since I am an ICP,
CF18 on ihe takeoff roll.
D -Detect Change : mediate objectives . These objectives available which may assist you in and in order to make a change from
will provide the direction you will weighing each alternative include the usual route, I planned the flight so
You can't solve a problem unless wasn't trying to act "t:ool" ; it was just ihe carrier pilot to my blunder . The
need to get frorn where you are, to identifying significant criteria and that after taking off from Bagotville
you know it exists . Change exists when assessing risk . that everything seemed to be going carrier pilot had only to apply his
where you want to be . The objective we would make one or two
there is a difference between "what is very well . While still chattering away brakes before continuing his roll .
you select sets the stage for the alter- approaches at the Dorval and Mirabel
happening" and "what is desired to natives you will consider . This may E - Evaluate the Effects airports . Ticket rides occur only once a
(inappropriately, as I now know~, I How had I got into this situation?
happen ." There is no one forrnula for lined the aircraft up on the centreline, With all the good or bad luck (?), this
be the most important step . An ill- of the Decislon : year, so this was my chance to impress
changed to departure frequency, per- story could have turned into a trag-
dealing with all kinds of problems . conceived objective will affect the rest my check pilot . The interesting thing
Some require extensive research and Evaluation provides crew members formed the usual final checks, cut in edy . This event is obviously yet more
of the processes and may lead to was that between us we had a total
fact finding before the true problem with feedback on the effects of their the afterburners and lifted my instruc- proof that when we become too
incomplete solutions . of approx . 6,000 hours of flight time .
can be identified . Others are almost decisions . This in turn provides infor- tor and our CF18 into the starry comfortable, we lose our alertness .
How could anything go wrong?
automatic in both definition and solu- mation regarding the need to adjust Saguenay sky . Despite the appearances, this flight
After a standard briefing and
tion . The crew member, who first The DECIDE model to additional change . If the alterna- normal preparation, the flight was lust a few seconds after I had was far from routine . Since I have
detects the change, clearly defines the tive selected does not meet the cut out the afterburners, a voice on been flying fighters, doing a detailed
about to begin . Once the startup was
objective, the problem solving departure frequency made an unusual briefing on all my current and antici-
problem, and evaluates the situation,
approaches the problem in the most
has been developed to process starts agam .
completed, the routine preflight
request : "The Tower request you pated actlons for my backseater have
checks began . Heaven knows I gave it
effective way . return to their frequency" . At that been the exception rather than the
Problem definition is a key part assist you in evaluating DFS has produced a video on the
DECIDE model titled "Decision Making
my all . For fear of boring my instruc-
tor, I had warned hirn that if I talked
instant, I knew sensed that something rule . That evening, my situational
of this step . You must ensure that was amiss . When I said the words awareness was far from 100°io . I had
in Single Seat Operations" . li drama- too much he had only to tell me, and I
you are solving the problem and not problems and selecting tizes two CF18 incidents where poor would try to be quiet, but that did not
"Bagotville Tower, Saguenay 53", the ignored an important piece of infor-
simply addressing a symptom . reality of what I had just done made mation because of a briefing which
decision making led to accidents . happen . I think my explanations were
me shudder with fear . I had just taken should have been done m a quleter
E - Estlmate the SI 9 nlflcance the best alternatives. The video may be obtained in either very detailed : I went over what I
off without clearance . Not only had I place than on the takeoff runway .
official language by FAX or message would do in such and such a case,
of the Chan e : addressed to AIRCOMlDFS 3-4-1. " my plan of attack, what would hap- missed everything the Tower had told Ladies and gentlemen, whatever
I - Identify Alternatives : pen in case of a breakdown, and so
me when I lined up, but my chatterinq your role or task, an incident like the
In this step the crew member served as the perfect shield so that my one that happened to me reminds us
assesses the priority of the problem by The more choices available in a on . Once I had finished programming
instructor had not noticed anything . that we must always be alert, particu-
examining the facts . If the significance problem situation, the more likely a my systems and obtained taxi clear-
And that is not all . larly when things become routine .
of the situationlproblem is underesti- quality solution will result . Whenever ance, we headed for the runway . The
The clearance I received was "Safety first" is our motto ; I should
mated, our stress level will be too low time allows, discussing the situation distance frorn the parking area to the
something like "Sag 53, taxi to posi- have remembered it that evening . "
and vre will ignore critical information . with other crew members will aid in runway being used that evening was
tion and hold . Aircraft taking off on
fairly short and without hurrying, in anonymous
If the situation worsens, we could be generating alternatives . When time is Runway 18" . By some incredible luck,
two minutes the aircraft was lmed up
caught off guard . limited, it is still important to consider the civil carrier had taken an extremely
and ready for takeoff .
If the significance is overestimated, more than one course of action . long time to line up and begin his roll,
During those two or three min-
our stress level will be too high . Then Remember, an alternative is only to the point that the Tower's attention
utes I continued my harmless chatter,
we may fixate on the problem, or at an alternative when it meets the was focused on him . What was even
obtained my IFR dearance, completed
extremely high stress levels, we may objective selected . In other words, more fortunate was that the noise of
the dynamic checks of my instruments,
become confused or panic . your objective becomes a yardstick my engines and the light from my
changed frequency and asked the
It is critical that you conduct a that can be used to measure the afterburners alerted the Tower and
Tower for take-off clearance . I really
realistic assessment of the significance efficacy of your alternatives,
of the problem .

6 Flight Comment No . 1,1996 I ftight Comment No 1,1996 1


~PILOGUE W1N~ BIRD AND MAMMAL CONTROL PROGRAMMES
Aircraft Accident Summary he recent crash of a USAF E-3 'an ounce of prevention is worth a The cost to repair or replace
AWACS in Elmendorf, Alaska has pound of cure' is certainly apropos today's sophisticated aircraft, or any
CF188935 clearly highlighted the dangers when deliberating the effectiveness loss of life, far outweighs the cost of a
n 27 March 1994, CF188935 that birds cause to aircraft . The inves- and cost benefits of a pro-active bird Wildlife Control programme . AIRCOM
departed on a flight from the tigation revealed that the numerous and mammal control programme . is experiencing a steadily improving
St . Hubert airport . Upon reaching birdstrikes sustained safety record with
cruising altitude, the pilot experi- by two of the four respect to bird strikes
enced symptoms of hypoxia and engines caused the and this improvement
noted an abnormally high cabin pres- aircraft to crash. translates into immedi-
While this ate and significant cost
sure altitude reading . A descent was
Headquarters has savings for the Air
commenced and the decision was
no indication that Force . While the need
made to return to St . Hubert where,
the continuation for cost cutting through
following the second approach, the
of wing bird and re-engineering andlor
aircraft landed . During the landing
mammal control downsizing is under-
roll, the pilot did not experience the
programmes are at stood, we must exercise
expected rate of deceleration and
i :r ~.~,; risk, it is important caution when consider-
believing the normal brake system
to note that the use ing reductions to wild-
had failed, selected the Emergency
of risk management life control programmes .
Brakes . Shortly thereafter, the aircraft
to evaluate proposed This recent accident at
entered into an uncontrollable skid
downsizing of vari- Elmendorf AFB reveals
and departed the side of the runway .
ous programmes the possible downside
The pilot and the passenger were
andlor personnel of accepting too
uninjured and initiated an emergency
ground egress while the aircraft sus- costs must be consid- much risk . "
Rear view, approx Z4 hours post accident .
ered very carefully,
tained "B" category damage . The
investigation into this accident has The old adage
The tragic causes of the Elmendorf, Alaska AWACS accident .
now been completed . the left main gear tire travelled over inappropriate . In this case, the aircraft
At the time, St . Hubert was expe- the asphalt patch which exhibited a was operating from a landing surface
riencing low cloud and reduced visibil- slightly higher coefficient of friction that was considerably shorter than the
ity due to snow and a report issued than the area over which the right runways at the pilot's home base .
shortly after the mishap showed that tire travelled (standing water) . This Although the aircraft was slowing
the runway was wet and 10°~o slush

CHANNELI~ED PRESSING
slight difference, in combination with normally, due to heavy weight, con-
covered . In addition, it was found the left crosswind, likely aggravated taminated landing surface, and the
that the total aircraft weight was the aircraft's directional control shorter than normal runway length,
approximately 36,000 pounds and problem . the pilot perceived a lack of decelera-
that the normal braking system was It was noted that human factors, tion similar to that experienced during
serviceable . The investigation into the such as the phenomenon of perfor- a previous incident and reacted
state of the landing surface showed mance degradation with increasing inappropriately by selecting
that the runway intersections are stress load, figured prominently in this Emergency Brakes .
characterized by depressions that mishap . The pilot was initially faced In response to this accident,
result in standing water (ponding) . with two emergencies as well as rap DFS is placing increased emphasis on uring the Gulf War, our C130 only included one destination . . .lahr . Lahr well over a safe crew day, We
Testing also indicated that although idly deteriorating weather conditions . human factors training during the encountered engine problems and I figured we could make it, but only should have stayed in Cyprus and I
the runway surface is only lightly tex- The decision to return to St . Hubert Wing and Unit Flight Safety Officer we were forced to spend four days with an 18 hr crew day . As events trans- should have listened to my crew and
tured, the aircraft should have been vice diverting to another airport Courses . A training video entitled on the ground in Taif, Saudi Arabia, pired . . .an airtest was required . . .we recognized the warning signs . Flight
able to stop within the available run- which offered substantially longer "Decision Making in Single Seat waiting to be fixed . During the fix, as had to refuel in Cyprus ., .ihe flight safety was compromised due to my
way length . The investigation also runways, combined with the inability Operations" has also recently been time dragged on, Ops in lahr were engineers crew day had started well channelized pressing . "
examined an asphalt patch that was to conduct a landing from the first released . In addition, an amendment growingly concerned on when our air- before the pilots . . .it was obvious that
thought to have induced the loss of approach, denote two actions indica- has been inserted into the GPH 205 craft would be returned to the airlift reaching Lahr was impracticable . . .
diredional control . Although its sur- tive of a pilot operating under acute and GPH 2055 indicating the existence flow . This, combined with my desire obvious to all except myself .
face texture is not appreciably differ- stress . It has also been shown that of a water "ponding" problem at the to get back to Germany created the Under my direction as Aircraft
ent from that of the runway, it was during periods of high stress there is a St . Hubert Airport . " illusion that I had to get that aircraft Commander, we continued to
noted that the patch was higher than tendency to revert to a previously back, pronto! Lahr . . .the crew was complaining, was
the surrounding area . It is likely that learned behaviour, no matter how On the morning we were finally tired . . .and we all fell asleep at varying
fixed, my plan, channelized as it was, times during our transit . We arrived at

Fhght Comment No . 1,1996 Flight Comment No . 1,1996


GOOD SHOW Transportation Safety Board (ref 1)
said :
"Basic control of the aircraft and
After the GA switch had been
pushed to 'Go Around', the pitch
mode engaged correctly but the pilots
Understanding how
automated systems
supervision of the flight's progress were unable to disengage from loca-
by instrument indications diminish as lizer capture, even after trying several
SECOND LIEUTENANT 2Lt Boulianne's glider . other more pressing tasks in the cock- alternate methods, Eventually the perform in unusual
pit attract attention because of the computer functioned normally after
MARC-ANDRE BOULIANNE 2Lt Boulianne immedi-
ately released the tow overreliance on such automatic the copilot selected another approach situations is important
equipment." with numerous entries tried . This
Lt Boulianne, a glider flight and initiated a climb-
required a lot of 'Heads Down'
instructor, was giving instruction ing avoidance turn that This was written in 1913, and
work at a time when it was most and this should be
to a cadet in a SZ-33 glider . While positioned his glider the aircraft in question was an L-1011
on tow at approximately 2000 feet, he directly aver glider undesirable .
which had recently had an autopilot
noticed glider C-GCSK, which was at C-GCSK thus alleviating upgrade . The Board found that this Later, in the same report, this reflected in training .
his one o'clock position, heading any further conflict . upgrade resulted in a lack of under- jump seat pilot goes on to say :
directly towards him- Just when 2Lt 2Lt Boulianne's standing by aircrew about how easily The day before, the Captain understanding of a situation . The
Boulianne was about to release his vigilance and quick the aircraft could lose altitude with the wanted to fly an approach because division of responsibilities in the pres-
glider to avoid collision, glider C-GCSK reaction in anticipating autopilot operating . The Board also of a computer problem and needed to ence of automated cockpit systems
initiated a right turn which seemed to the manoeuvres of the found that : enter a new frequency, but could not requires careful management . In
increase the distance between them . other glider avoided do so because the 'scratch pad' was
"Although formal training provided commercial aviation there have been
Nevertheless 2Lt Boulianne continued a mid-air collision and full ; it could not be cleared because instances of Aircraft Captains becoming
adequate opportunity to become famil-
to monitor the other glider . Shortly possible loss of life . of a computer malfunction! focused on the details of reprogram-
iar with this new concept of aircraft
after his turn away the pilot of ming an FMS, resulting in a failure
Good show, control, operational experience with How do we reduce the risk of
C-GCSK turned left again putting
1Lt Boulianne ! " the autopilot was limited by company similar incidents in CF aircraft? to manage the cockpit during a
his glider in a direct line with changing situation .
policy ." First, although technology makes
flying easier and can increase opera- Almost every aircraft in the CF
inventory has some degree of automa-
The use of high tional capability, the need to under-
stand the behaviour of the aircraft tion, and the use of such technology

~~ASS COCKPIT TECHNOLOGY -


as a systern is greater . Understanding is growing . The introduction of the
technology in the how automated systems perform in Griffon and the avionics upgrade to
unusual situations is important and the C130 fleets are two examples . To
man-machine interface this should be reflected in training . complement the efforts of our stan-

A MIXED BLESS[NG
Our aircrews may need to develop dards and training organizations, all
new skills in rnonitoring automated members of the CF aviation commu-
has added a level of systems, where information is pre- nity should look for opportunities to
sented in different ways, where improve training and checklists to pre-
complexity that provides actions may have consequences that vent an automation link from com-
by lan Mack, DCIEM show up much later, and where inter- pleting the accident chain . DCIEM is

an advantage during actions of automated systems may


have unexpected results,
researching these issues and we wel-
come your input from the operational
omputer control and monitoring Second, procedures may need to community .
of aircraft systems has made flying normal flight. be refined . In automated aircraft, The author is a defence scientist at
smoother and more efficient . mode confusion is a significant link in the Defence and Civil lnstitute of
Hovrever, the introduction of high It is easy to compare CF transport the accident chain, The introduction Environmental Medicine "
technology in aircraft has not been aircraft with commercial aviation, but of a "mode verification" item in
trouble free . For example, a 1995 do automation problems exist in the checklists may reduce the chance it References :
ground incident that resulted in major more unique environments of military will end up contributing to an acci-
1 . NTSB, AAR, Eastern Air Lines Inc .
damage to a CF Airbus resulted from fast jet and helicopter operations? The dent . The full consequences of mode
L-1011, N310EA, Miami, Fla,
an irnproper understanding of the answer is most certainly yes, but the selection can be examined, for exam-
December 29, 1972, Washington :
consequences of manual intervention problems may be different . For exam- ple, in the simulator - where time is
June 1913 .
in an automated system . The use of ple, the following excerpt from NASA's plentiful - and the results included
high technology in the man-machine in time-saving checklists for use in 2 . ASRS, Accession Number 144692,
Aviation Safety Reporting System
interface has added a level of com- (ASRS) illustrates two issues of general the air . Mountain View Calif . March 1990 .
plexity that provides an advantage concern - 'heads down' time and pro- Third, Crew Resource Management
during normal fliyht, but which can gramming automated systems . The training will become more important
become a hazard during unusual text, from report number 144692 in automated aircraft . Routine moni-
situations . (ref 2) has been slightly edited to toring tasks may need to be verbalized
The problem is not a new one . increase readability : to ensure the crew has a common
In its report on the crash of Eastern
Airlines Flight 401, the US National Cockpif o( rhe CH146 Griffon.

10 Fhght Comment No 1,1996


ffight Comment No . 1,199n 11
THE SQUAD~ON SUPE~VISO~ by LCoI P .A . Nodwell and Maj H .M. Ta te
META~~TAF cOMING SOON ! ! ! by lim Yip, DGMetOclDMW51

pent an interesting afternoon b, judge, and expect to be judged, on in the proper perspective . From where t is 1900Z on 3 June 1996, and there is a significant change to the hundreds of feet . Partially obscured
sharing pizza and war stories with two basic elements - professional we sit, there is far too much loyalty Hornet 14 is a CF18 enroute on a weather . The four letter ICAO is reported as SKC (if no cloud) or
a fighter pilot during a section get- competence and integrity ; downwards (a looking after my boys training mission to 8 Wing Trenton, identifier CYTR is followed by the is induded with the first layer.
together . Laughter and light-hearted syndrome) . Remember, if it's time to Hornet 14 . . .19115 are temperatures
H~rnet 14 requires the latest weather date and time of the observation
pleasantries abounded for awhile but c . determine the suitable balance
kick ass, then do just that . In other at Trenton and is contacting Trenton 031900Z . The wind direction 060 is and dew-point in degrees celsius
eventually, the hangar talk turned between flying and supervisory
words, practise the law of primacy - METRO service on his radio . given as three digits to the nearest where observed values with 0 .5
serious . This time the subject was the requirements (We know that's a
be right the first time . 10 degrees true . VRB is used for var- degrees are rounded up to the next
critical role played by the squadron tough one but you are needed on Trenton METRO, Trenion
Operational squadrons have iable direction, if three knots or less warmer degree and M signifies a
supervisor . Although my winger and the ground more than you might METRO . . .This Hornet 14, a CF18
I are the products of different back- always been a beehive of activity, and calm it is encoded as OOOOOKT . negative temperature . A2992 indi-
expect . Rule of thumb - the super- enroute to Trenton and requesting
grounds, we soon discovered that often stretched to the absolute limit The next two digits 10 are speed in cates an altimeter setting of 29 .92
visor can paint with a bigger brush your latest actual weather, over .
we were expressing the same concerns from a resource perspective . Too fre- knots, followed by gusts to a 2-digit inches of mercury . Some countries
on the ground than in the air) ; Hornet 14 this is Trenton METRO . . .the
about the vital role played by the quently, supervision is sacrificed some- maximum . use "Q" which indicates hectopas-
those individuals assigned to latest Trenton METAR is wind 060
d . know your people (although this is what to get the job done . Each year, a Trenton METR0 . .,1 guess I should have cals . WS RWY06 is supplementary
supervisory positions . degrees true at 10 knots, visibility
critically important, it is not very number of new and promising aircrew been awake during ground training information on windshear within
Unfortunately, we expressed three quarters statue miles in light
well done) ; arrive at units eager to fly ; and thank but I am reading you 5 by 5 so far, 1600 feet above ground level, pro-
serious dissatisfaction with some of the rain and rnist with the RUR for
God for that . Their task is twofold ; go ahead . vided by an aircraft along the take
personnel functioning in a supervisory e . lead by example (very basic, learn the aircraft and learn the role . Runway 06 at 4000 feet with a off or approach path . RMK SF55C3
Hornet 14 . . .3/45M (three quarters of a
capacity . At the risk of offending some but again, not particularly well downward trend . Clouds are
Mistakes along the way are inevitable statue mile) is the prevailing visibil- SLP134 are remarks and include
of our contemporaries, we will offer handled) ; , . . as they broaden iheir horizons . Strong broken stratus fractus at 800 feet layer type and opacity in oktas of
ity . Visibility of 15+ is encoded as
some scenarios that required strong and overcast stratocumulus at
Again, we could go on, but we're and readily available supervision will 155M . Lower visibilities which are clouds, general weather remarks
leadership (that was lacking for what- 3000 feet with a temperature at
sure that you get the picture . Armed go a long way towards proper profes- half or less of the prevailing visibil- and sea level pressure in this case
ever reason) and then we'll propose 19 degrees celsius and a dew-
with this priority list, you should be sional development in these instances . ity are reported in the remarks 1013 .4 hPA . The aerodrome fore-
some basic guidelines for performing point at 15 degrees celsius . The
ready to function as an effective Be there when it's needed . If you're section . R0614000FT/D (RVR for cast (TAF) indicates that the
the supervisory role more effectively altimeter setting is 29 .92 inches
supervisor . There is no doubt that the not, then who will be? By the way, Runway 06 is 4000 feet with a weather will remain the same for
under similar circumstances . with windshear on Runway 06 .
squadron milieu is a busy pla<e that when the pace picks up, avoid the downward trend) is the 10-minute the next few hours, how copy?
Immediately, what comes to mind How copy Hornet 14?
offers a steady stream of problems or convening of the catch all meetings average runway visual range Trenion METRO . . .Thank you for the
are breaches in flying regulations . We where pressing operational or training help . I am not requesting an expla-
concerns as matter of course . Sooner METAR CYTR 0319000Z 06010 3145M reported when prevailing visibility
have limited the scope of this article to matters are discussed in the same is 1 mile or less andlor the runway nation of the TAF at this time as I
or later, the first incident requiring R0614000FT1D -RA BR BKN008
this specific area for illustrative pur- venue as the coffee fund . Separate visual range is 6000 feet or less . "D" have to go back to area control .
possible disciplinary action will occur . OVC030 19115 A~992 WS RWY06
poses only . Some examples follow : There are three points well worth administrative and operational Hornet 14 . .,Further information can
RMK SF5SC3 SLP134 indicates downward trend, "U"
remembering when addressing this matters and convene meetings upward trend and "N" no change, be obtained from your friendly
a . providing the customary "morale Trenton METRO this is Hornet
booster" low pass during extended particular problem area . Firstly, be accordingly . Trenton METRO . . .Yes, good stuff, Wing Meteorological Officer or
14 . . .Uh . . .What is this METAR
deployments - affectionately called thorough and open in gathering infor- Okay, we've had our say in court . go ahead . from the METAR/TAF Study Guide
stuff? . . .where did the hourly
mation . Secondly, be fair, just and Our aim was to encourage aircrew to Hornet 14 . . .-RA BR (light rain and Edition III, prepared and supported
the wake up calt; SA code go?
prompt in reaching and making talk about this article regardless of mist) is the present weather and is by Environment Canada and
b . completing an IFR flight without Hornet 14 . . .Oh! did you not hear?
known your decision . Thirdly, (and this whether you agree with us or not . comprised of weather phenomena Transport Canada Aviation . This
sufficient fuel reserves ; As of 1800Z today 3 June 1996, the
goes along with establishing a positive A healthy jaw session during a struc- (precipitation, obscuration, or study guide should be located in
hourly SA code and FT code has
command presence), expect to be tured meeting or at the bar will pro- other) preceded by one or two your squadron operations centre,
c . turning a runway inspection pass been officially replaced by the
judged as a leader by the manner in duce the desired results . Believe us, all qualifiers (intensity or proximity to over .
(at an austere airstrip) into a low international meteorological
which you handle all aspects of the aircrew have opinions regarding the the station and descriptor) . BKN008 Trenton METRO . . .Thank you for the
level, high speed pass ; METAR code, the corresponding
incident . When considering this third running of a squadron so talk it up OVC030 is sky cover amounts which help . I will familiarize myself on the
d . modifying SOPs during deployments SPECI code and the TAF over all of
point, it is important to note that and we'll all be better off . Remember, are cumulative . Therefore layer new code when I yet back to home
without proper authorization ; . . . if you don't examine and practice Canada with implementation within base . Got to go now . "
leadership is not a popularity contest . amounts include the sum of any
leadership, you will never be good the US to follow .
Prior to leaving this theme, we layer below . Cades for sky cover
We could go on since the list is Trenton METRO . . .Yes, now I kind of
should point out that far too often, at it . As we see it . amounts are : SKC - sky dear, FEW -
longer, but you get the drift, right? remember some mention of this at
the supervisor facing a problem feels few, less than 1 to 2 oktas ; SCT -
So what does the supervisor do about Article was written by LCo1 P .A . ground school training last month .
the need for action (meaning direc- scattered, 3 to 4 oktas ; BKN -
ihese situations? Long before any such Nodwell, ATGHQIG21G3 and Maj Perhaps you could help me with the
occurrence, the individual should have tion) immediately . This may be ill- broken, 5 to less than 8 oktas ;
N.M. Tate, NDHQIDGAD, with special decoding of the Trenton 1900Z
advised . Direction must occur, but in OVC - overcast, 8 oktas and VV -
formulated a priority list (ideally before acknowledqemeni to all who critiqued METAR?
assuming the supervisory position) . due course and only after all aspects sky obscured . Cloud height is
the submission . " Hornei 14 . . .Of course, no problem .
of the issue have been examined . For reported in 3 digits in hundreds of
Although tailored to meet individual METAR is an aviation routine
fear of spoon feeding, we won't elab- feet . CB or TCU is added as needed .
needs, it would start off something weather report and the correspond-
orate further regarding the decision Vertical visibility (VV) is reported in
like this : ir~g SPECI is a special report when
making process, other than to point
a . develop a command presence ; out that supervisors must place loyalty

Flight Comment No . 1,1996 13


12 fli9ht Comment No . 1,1996
~LIGHT SAFETY: A POTENTIAL CASUALTV SO YOU'RE THE NEW INSTROCTOR by Capt W.f. Canham, OFS 3-4-3

his article was received throuqh and me . While this subject is far too CFTO is actually a log of past mistakes . s a QFI or an OTU
the Flight Safety network after complex to discuss here in depth, I That being said, restructuring is not an instructor you are
being reviewed by the applicable would like to present three areas exact science and that "risk manage- 1 entrusted with
supervisors, While all do not concur of concern . ment" is now a part of the process . passing on the skills
with the author's messaqe, they do Growing pains are inevitable . As new applicable to your
aqree ii does raise some interesting procedures are implemented they trade . You were
points . The article is being published In the face of such should be criticized not only for effi- selected because you
to generate discussion at your unit . ciency but even more so in the interest have plenty of aircraft
DFS welcomes your comments . ed . dramatic restructuring of Flight Safety . experience . You have
Lastly, there is an offshoot of been told where to
From my perspective in mainte- anticipate student
nance there is a foreseeable erosion to there exists the danger down sizing that has been with us
since its inception, no promotions or errors and been given
the founding principle on which we a few tips and tech-
financial incentives . Does this have
"maintainers" carry out our duties : of cannibalising the Flight Safety implications? Perhaps, niques to pass along .
Flight Safety . In this time of change, Hopefully, you have
but the following speaks about the
MOC 500 restructure (multi skill ena-
bler?), compounded with the demands individual by the competitiveness of human nature . been instructed about
"how to teach" and
The scent of only one or two possible
of "re-engineering" and the resulting about "how to keep
promotions per trade (with its IPS
reduction of personnel, is creating organization . and financial implications) has set yourself organized"
fear that the traditional Flight Safety during each lesson .
up unhealthy competition for these
foundation is crumbling . This fear is First, the process of change itself . In your training
prized possessions . The trend is either
cultivated by continual reassessment you were likely shown
Without it we would fossilise - too "dog eat dog" or to completely with-
of the options forced upon us by the much and we would lose control . I some student errors
draw from the race . In each case indi-
down sizing directive "Do More With but not nearly all of Q
don't think anyone would argue that viduals end up doing their own thing
Less" and re-engineering terms like 5
we are leaning more towards the lat- with little reference to the work them . This then raises >
"Risk Management" . The Air Force has the question, "when
ter . How does it effect Flight Safety? group . This is not conducive to good
responded to this challenge by install- your student makes
A person who has a dear area of aircraft maintenance . I don't suggest
ing checks and balances at all levels, in responsibilities and clear accountabil- an error - how far do
we have a group hug but, just keep in Y

the form of management directed re- you let it go?" n


ity, whose turf is not subject to inva- mind the nature of the beast .
engineering committees . I believe the A case in point :
sion by the process of <hange, works In conclusion, some of us are
expertise and professionalism on these Recently an aircraft CT114 Tutor of Central flying School .
in a healthier environment than one using restructuring as an excuse to cul-
committees will serve us well in main- whose boundaries are unclear due to received minor dam-
tivate and wallow in our favourite bad
taining the essence of Flight Safety . It Demonstrate and discuss the limits Finally, don't be a test piloi.
change . Pressures for change, for effi- feelings . This may be more than justi- age when the instructor failed to
is also clear the successful restructur on instructor traininq sorties. Fly with If your mentor never gave you a
ciency, and for cost cutting, can defi- fied . Unfortunately, Flight Safety is intervene following the student's high
ing of our Air Force while maintaining the most experienced IP on the unit "simulated" engine failure at the top
nitely lead an individual to take short likely to suffer . Professionals will not flare before landing . The high round
the current commitment to Flight and get him to show you what he of the confined area it was probably
cuts that run counter to his sense of lose sight of the fact that they are out resulted in a stall and the aircraft
Safety will also depend greatly upon accepts . Learn all you can . for a good reason . For reasons of
conscientiousness . A tragic example morally and legally responsible for the impacted the runway .
each of us as individuals . In spite of Ask yourself if there is added excessive risk! You can probably do
was the space shuttle Challenger disas- performance of their aircraft and the When the student is flying : How
what we have been led to believe, training value by letting the student that s<ary stuff in a simulator, but
ter . Many people involved lost control safety of the crew and passengers . slow do you go? How far off track can
less cannot be more, less is less! In go too far . Obviously resulting dam- excessive risk in training scenarios
over their work due to these pres Who do you associate yourself with? he get? How much crab can the land-
the face of such dramatic restructuring age will teach the student not to do usually damages more resources than
sures . They were making decisions Are you flying with eagles or pigeons? ing gear withstand? How low is too
there exists the danger of cannibalis- that again! Can you illustrate a better we loose to the actual emergency . "
that did not fit at all with their value Or perhaps with vultures for whom low? How far off centre line do you
iny the individual by the organizatlon . method once he has left the realm of
system, One hopes they dealt with you are providing the meal . This take it? You could probably extend
As more demands are made on himl expected performance that saves
thernselves compassionately in the means that if Flight Safety is to survive this list infinitely .
her without the traditional compensat- valuable training time?
aftermath . in its present state it will not be These are all good questions that
ing mechanisms and as the individual Let your conscience be your guide.
Secondly, the reassessment of through re-engineering and the strip- will require your instantaneous judge-
is forced to live off hislher reserves, Often when you instruct it is easy to
proven maintenance procedures is in ping of the traditional values . It will ment . To help you prepare for this
often at considerable cost to them, detect the really big deviations
the interest of efficiency, a valid and be up to everyone to ensure that eventuality consider the following
Flight Safety will inevitably suffer . because your own survival instincts
necessary goal . We as maintainers Flight Safety stays where it has always advice passed on over years of
Maintainers must minimize this side- will take over . Don't forget to inter-
know that most of these traditional been the most sacred place - the pri- aviation experience .
effect of a leaner and smaller vene even when you have those
procedures of the Flight Safety con- mary code of the maintainer . If I have Talk aboui realistic limits among all
Air Force . "slight" feelings that something is
cept were usually born in response offended anyone, I apologize . " instructors on a regular basis . You can
It has been said that the greatest alarming . This could be summarized
to tragedy . To us every step in a easily take advantage of others' experi-
potential improvement in Flight Safety as a sixth sense!
checklist has been earned, every ence in these forms . Do it regularly .
depends on the human dynamic - you

Flight Commeni No . 1,1996 15


14 I g t Com mn
rih e t No .11
, 996
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1fi fli9ht Comment No 1,199b

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