Corcoran John

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CREW RESOURCE MANAGEMENT

(CRM)
HUMAN FACTORS

FIXED WING AERO MEDICAL


ENVIRONMENT
INTRODUCTION - John Corcoran
• Airline Transport Pilot Licence
• 14,000 flight hours
• 2,500 hours - corporate jet
• 5,000 hours aero medical
operations

• European Aviation Safety Agency (EASA)


accredited CRM Instructor – Human Factors -
Facilitator
Crew Resource Management (CRM)
Definition
Consists of all the knowledge, skills
and roles used to most effectively
direct, control and co-ordinate all
available resources towards and
safe and efficient operation
Human Factors - Definition
Human factors is all about recognising and
accepting the limits of human
performance. We all have certain
capabilities and limitations. Human
factors must be considered and factored
when designing and or operating any
complex system – i.e. aeroplanes
Aero Medical CRM – how important?
Aero Medical CRM - how important?
Asiana Airlines
Flight 214 – Boeing 777
San Francisco International Airport
06 July 2013
United Parcel Service - UPS
Flight 1354 - Airbus A300F4
Birmingham Airport – Alabama - USA
14 August 2013
History
• CRM first introduced in the mid 1970’s
• The British CAA mandated CRM training in
1993
• The USA FAA mandated CRM training in 1996
• The FAA mandated (Air Taxi) CRM Training on
23 March 2013
History - Australia
• Australian Airlines introduced Aircrew Team
Management (ATM) for pilots only in 1985

• Ansett Australia introduced CRM training


(including Cabin Crew) in 1996

• The Australian CASA mandate CRM for Regular


Public Transport operations
CRM for Cabin Crew
• Early CRM training focused on ‘pilot
error’ only!
• Several major airline accidents during the
80’s and 90’ highlighted the need to
involve cabin crew in CRM training
British Midlands B737 – near Kegworth, UK
- 8 January 1989
Overview
• Flight crew mistakenly shut down the
right engine after a fan blade failure in
the left engine!
• Captains P.A. reported trouble with the
right engine!
Captains P.A.
“Ladies and gentlemen, we have had some
problems with the right hand engine and
are shutting it down. We will be landing
at East Midlands in approximately 10
minutes”
Communication
• Cabin crew had an opportunity to pass on
information to the flight crew that fire and
smoke was coming out of the left engine!

• Cabin crew did not come forward to report


that it was the left engine, not the right, which
was emitting sparks and smoke!
Human Error – Red Flags
• Decision making
• Authority gradient
• Teamwork and synergy
• Appropriate assertion
• Communication
• Situational awareness
Human Error – Aero Medical
Error-free operations involving humans do
not exist!
• Error Prevention measures are designed to limit
error occurrence
• Error Containment measures are designed to
limit the adverse consequences of those errors
that still occur
Error Prevention
Model of an Aircraft Accident
CRM - Aero Medical
Error Prevention Measures
• Targeted Personnel Selection
• Training and Revalidation
• Line Checking
• Incident Reporting Systems
• Standard Operating Procedures
• Rules and Regulations
Training and Revalidation
Line Checking
Incident Reporting Systems
Standard Operating Procedures
Rules and Regulations
Further Recommendations
Sterile Flight Deck Procedures
Interruptions for Security, Safety, SOP reasons only!
• Door closed
• Cycle Seat Belt Sign – (10,000 feet)

• Prepare Cabin PA – (10,000 feet)


• Seat Belt Sign Off after landing
Further Recommendations
No Contact Period
• Beginning of the take-off roll to ‘gear up’
• Landing gear down to stopped on the runway
or taxying clear of the runway
Further Recommendations
Aero Medical Crew Member
SILENT REVIEW - OLDABC
• Operation of Exits
• Location of Equipment
• Drills
• Able Bodied Passengers
• Brace Posture
• Commands
Further Recommendations
CRM - Aero Medical
Human Error Prevention Measures
• CRM – Human Factors - joint training sessions for
Aero Medical flight and cabin crew members
• Subject material to capture the requirements of
(European) Joint Aviation Requirements – JAR-
OPS – CRM syllabus
• Syllabus tailored to Operator specific Aero
Medical Operations
Automation and CRM
Automation - Definition
“The act or process of converting the
controlling of a machine to a more
automatic system, such as computer
or electronic controls”
Frequent problems with Automation
• In the late 1990’s the FAA conducted a study
evaluating flight crew – flight deck interfaces
• The study looked beyond Human Error as to
the cause of accidents/incidents and
evaluated the automation side of aircraft
Problems
• Lack on monitoring
• Incorrect programming
• Distraction during
programming
• Mismanagement
/ confusion
Problems
• Automation may demand attention
• Automation behaviour may be
unexpected and/or unexplained
• Crew members become overconfident in
handling automation
• Failure assessment may
be difficult
“Big Ticket” – Problem!
SITUATION AWARENESS
MAY BE REDUCED
• Reliance on automation may reduce
pilots' awareness of the present and
projected state of the aircraft and its
environment, possibly resulting in
incorrect decisions and actions
LOSS OF SITUATION AWARENESS
CONTROLLED FLIGHT INTO TERRAIN – CFIT
• King Air B200C Aeromedical – Mount Gambier,
South Australia, 10 December 2001
• King Air B200C Aeromedical – Coffs Harbour,
New South Wales, 15 May 2003
CRM – Human Factors – Aero Medical
Recommended Subject Material
• Human error
• Teamwork and synergy
• Authority gradient
• Situational awareness
• Red flags
• Appropriate assertion
CRM – Human Factors – Aero Medical
Recommended Subject Material
• Hazardous attitudes
• Stress/fatigue awareness
• Communication
• Decision making
• Priorities of flight
CRM – Human Factors – Aero Medical

At the end of the day CRM is all about


staying safe. The ultimate aim of CRM is
to allow human factors to be integrated
into your safety culture as a professional
Aero Medical Crew Member

You simply cannot afford to be the cause of a


serious aircraft accident !
QUESTIONS?
Useful CRM Information

CAPTAIN MARTIN BOMILEY


JUST A ROUTINE OPERATION
CRM – HUMAN FACTORS
THANK YOU?

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